手术室护理干预对颅脑损伤患者术后医院感染的控制作用研究

Effect Research on Nursing Intervention in Operating Room in Controlling Postoperative Nosocomial Infection in Patients with Craniocerebral Injury

目的为了能够提高颅脑损伤的治疗效果并减少各种不良事件的发生率,分析和探讨在颅脑损伤术后医院感染控制中实施护理干预的价值和意义。方法按照随机数字表的方法选取74例于2014年1月—2015年1月来该院就诊的颅脑损伤手术患者作为研究对象,并按照双盲对照的原则分为观察组和对照组各37例,其中对照组患者实施常规护理服务,而观察组患者则采取护理干预,对比和分析两组的不良事件发生率及对护理服务满意度。结果观察组患者呼吸道、泌尿系统及刀口感染的发生率分别为1(2.70%)、0(0.00%)、0(0.00%),而对照组患者的呼吸道、泌尿系统及刀口感染的发生率分别为3(8.11%)、1(2.70%)、3(8.11%),两组患者比较差异有统计学意义(P<0.05)。结论在颅脑损伤患者治疗中实施手术室护理干预,有助于强化手术室的各项护理措施,促进患者的康复,预防和减少各种不良事件的发生率,值得推广和应用。

Objective To analyze and study the value and significance of nursing intervention in controlling postoperative nosocomial infection in patients with craniocerebral injury in order to improve the treatment effect of craniocerebral injury and reduce the incidence rate of adverse events. Methods 74 cases of operative patients with craniocerebral injury diagnosed from January 2014 to January 2015 were randomly selected as the research objects and double-blindly divided into two groups with 37 cases in each, the control group adopted conventional nursing services, while the observation group adopted nursing intervention, and the incidence rate of adverse reactions and satisfactory degree to nursing services of the two groups were compared and analyzed. Results The differences in the incidence rates of respiratory tract, urinary system and incision infection between the observation group and the control group had statistical significance, [1（2.70%）, 0（0.00%）,0（0.00%） vs 3（8.11%）, 1（2.70%）, 3（8.11%）], P〈0.05. Conclusion Nursing intervention in operating room at the time of treatment for patients with craniocerebral injury contributes to strengthening various nursing measures in operating room, promoting rehabilitation of patients and preventing and reducing the occurence of various adverse events, which is worth promotion and application.