集束化护理干预对ICU重型颅脑损伤患者感染的影响

IMPACT OF CLUSTER OF NURSING INTERVENTION ON ICU PATIENTS WITH SEVERE TRAUMATIC BRAIN INJURY INFECTION

目的探讨集束化护理干预对重症监护病房(ICU)重型颅脑损伤患者感染及预后的影响。方法2012年6月—2014年6月选取该院ICU收治的92例重型颅脑损伤患者为研究对象,根据随机数字表将患者分为观察组及对照组各46例,对照组实施常规性护理,观察组实施集束化护理,对比分析二组患者感染发生率及预后情况。结果观察组肺部感染、泌尿感染、颅内感染、静脉导管感染发生率显著低于对照组(P<0.05)。观察组机械通气时间、入住ICU时间、住院时间短于对照组(P<0.05),而医疗费用少于对照组(P<0.05),患者满意度评分高于对照组(P<0.05)。结论集束化护理干预能有效降低ICU重型颅脑损伤患者感染发生率,缩短住院时间,减少医疗费用,提高患者满意率。

Objective To investigate the cluster of nursing intervention on the intensive care unit （ICU） in- fection and prognosis of severe traumatic brain injury patients. Methods From June 2012 to June 2014, 92 cases admitted to hospital ICU with severe traumatic brain injury patients for the study, based on a random number table, patients were divided into observation group and control group , 46 patients in each group. The control group was to implement routine care; implementing cluster nursing was to observation group, then a comparative analysis of the two groups of patients infected with the incidence and prognosis was car- ried out. Results The lung infections, urinary tract infections, intracranial infections, venous catheter in- fection rate was significantly lower than the control group （P〈0.05）. Observation of mechanical ventila- tion, ICU stay, hospital stay were shorter than in the control group （P〈0.05）, while health care costs were less than the control group （P〈0.05）, patient satisfaction score was higher （P〈0.05）. Conclusion The cluster of nursing interventions have effectively reduced ICU patients with severe traumatic brain in- jury incidence of infection, shorter hospital stays, reduce medical costs and improve patient satisfaction.