急诊危重患者侵入性操作消毒护理措施研究

Research on Disinfection Care for Emergency Critical Patients with Invasive Operation

目的:探讨急诊危重患者侵入性操作护理措施及其护理效果。方法:对我院收治的746例急诊危重患者侵入性操作相关资料进行分析,分析急诊危重患者侵入性操作消毒护理方法,并建立本病患者侵入性操作的消毒防控流程。结果:746例患者中104例发生医院感染,感染率为24.6%;其中59例下呼吸道感染,占56.7%;23例泌尿系统感染,占22.1%;9例肠道感染,占8.7%;感染的104例患者中,41例气管插管,占39.4%,31例留置导尿术,占29.8%;18例插管洗胃术,占17.3%。结论:急诊侵入性操作过程中应该加强患者消毒护理,尤其是各种插管留置,以及无菌操作过程中的消毒护理,降低患者感染发病率,提高急诊危重患者侵入性操作水平。

Objective To explore nursing measures and effects for emergency critical patients with invasive operation. Methods： Weanalyzed relative data of invasive operation disinfection care methods for 746 cases of emergency patients and established disinfectionprocedure of patients with invasive operation. Results： Among 746 patients, 104 cases developed hospital infection, with infection rate of24.6%. And among the 104 patients, 59 cases developed lower respiratory tract infection of 56.7%, 23 cases urinary tract infection of22.1% and 9 cases enteral infection of 8.7%; 41 cases were performed endotracheal intubation of 39.4%, 31 cases retention catheterizationof 29.8%, 18 cases intubation gastric lavage of 17.3%. Conclusion： In emergency invasive operation we should stress patients’ disinfectioncare, especially for kinds of retention intubation, and disinfection in the process of aseptic processing to lower patients’ infection rate andimprove invasive operation level for emergency critical patients.