呼吸重症监护室预防院内感染的护理对策探讨

The exploration of nursing countermeasures for nosocomial infections of respiratory intensive care unit

目的探讨呼吸重症监护室预防院内感染的护理干预对策。方法选取于我院呼吸重症监护室进行康复的患者130例，随机分为观察组与对照组。针对观察组给予预防院内感染的护理干预，同时给予对照组重症监护室常规护理，对两组患者的医院感染率进行统计并比较。结果观察组患者中发生院内感染的患者19例，感染率为29．23％；对照组中感染人数45例，感染率为69．23％。观察组中感染发生情况显著减少，差异有统计学意义意义（P〈0．05）。且感染发生于下呼吸道的患者观察组以及对照组分别为11例和25例，明显多于其他部位的感染发生情况。结论给予呼吸重症监护室患者特异性预防院内感染的护理干预，相比较传统的常规护理，有效改善了患者出现院内感染的情况发生，促进了患者的康复，有效提高了临床康复率以及治疗安全性。

Objective To investigate the nursing intervention countermeasures for nosocomial infection of respiratory intensive care unit. Methods 130 patients for rehabilitation treatment in respiratory intensive care unit of our hospital were selected and randomly divided into observation group and control group. Observation group was given nursing intervention in order to prevent nosocomial infection, while control group was given routine nursing care of intensive care unit. The rate of nosocomial infection in two groups were statistically analyzed and compared. Results The rate of nosocomial infection in observation group were 29.23% （19/65）, that in control group was 69.23% （45/65）, with statistically significant difference between two groups （P〈0.05）. There were 11 cases of lower respiratory infection in observation group, and 25 cases in control group, significantly more than other infected sites. Conclusion Compared with traditional routine nursing methods, special nursing intervention for patients in respiratory intensive care unit decreases the incidence of nosocomial infection effectively, promotes the recovery of patients, improves the clinical recovery rate and the safety of treatment effectively.