家庭赋权干预对神经外科危重患者医院感染预防效果的研究

Study on family empowered intervention for the prevention of nosocomial infections in critically ill patients in neurosurgical department

目的探讨家庭赋权干预对神经外科危重患者医院感染的预防控制效果,为临床提供依据。方法选取2013年6月-2014年8月在医院神经外科接受治疗的636例危重患者,将其随机分成观察组和对照组,每组各318例;对照组患者采取常规干预治疗,观察组患者在常规干预的基础上加家庭赋权干预,对两组患者的医院感染率进行比较,采用问卷调查患者及家属满意程度,数据采用SPSS16.0软件进行统计分析。结果观察组患者医院感染率为13.5%,低于对照组的27.1%,差异有统计学意义(P<0.05);观察组患者及家属对医院感染的预防控制满意率为90.9%,高于对照组的68.6%,差异有统计学意义(P<0.05)。结论家庭赋权干预措施能够降低神经外科危重患者医院感染的发生概率,提高患者及家属满意度,对神经外科危重患者预防控制医院感染效果明显。

OBJECTIVE To discuss the preventive effect of family empowered intervention on nosocomial infections in critically ill patients in the neurosurgical department so as to provide reference for clinical treatment.METHODS Totally 636 cases of critically ill patients treated in the neurosurgical department from Jun.2013 to Aug.2014 were selected and divided into the observation group and the control group,318 cases in each group.The control group received conventional intervention.The observation group received family empowered intervention on the basis of conventional intervention.The nosocomial infection rates of the two patients were compared and the questionnaires were used to evaluate the satisfaction degree of patients and their families.Data were statistically analyzed by software SPSS16.0.RESULTS The nosocomial infection rate was 13.5%for the observation group,lower than 27.1%for the control group,the difference was significant（P〈0.05）.The satisfaction of patients and their families with the prevention and control of nosocomial infections was 90.9% for the observation group,higher than 68.6%for the control group,the difference was significant（P〈0.05）.CONCLUSIONFamily empowered intervention can reduce the incidence of nosocomial infections in critical patients in the neurosurgical department and improve patient and family satisfaction,which has significant preventive effect on nosocomial infections in neurosurgical critical ill patients.