循证护理在重症脑损伤气管切开患者肺部感染中的应用

Evidence-based nursing for pulmonary infection in patients with severe brain injury and subsequent tracheotomy

目的:探讨循证护理在重症脑损伤气管切开患者肺部感染中的应用效果。方法:住院重症颅脑损伤气管切开患者70例随机分为研究组与对照组,各35例。分别给予基础护理、循证护理,比较术后肺部感染患病率、堵管时间及住院时间。结果:研究组堵管时间、住院时间及肺部感染率均明显降低(P<0.01)。结论:循证护理方法在重症脑损伤患者肺部感染中的应用可靠、有效,值得临床推广应用。

Objective： To determine the efficiency of evidence-based nursing for pulmonary infection in patients with severe brain injury and subsequent tracheotomy. Methods： A total of 70 patients with severe craniocerebral injury and subsequent tracheotomy were randomly allocated to receive basic nursing（ control group,n = 35） or evidence-based nursing（ n = 35）. The two groups were compared on postoperative pulmonary infections,time to obstruction of the tracheal cannula,and length of hospital stay. Results： The study group showed lower rate of postoperative pulmonary infections,longer time to obstruction of the tracheal cannula,and shorter length of hospital stay,compared with the control group（ all P 〈0. 01）. Conclusion： Evidence-based nursing in severe brain injury patients with pulmonary infection appears to be a reliable,effective approach which is worthy of widespread use in clinical practices.