护理干预对降低胃十二指肠穿孔术后肺部感染率的分析

Effects of nursing intervention on reducing postoperative pulmonary infections of gastric and duodenal perforation

目的探讨护理干预对降低胃十二指肠穿孔术后肺部感染率及提高住院满意度的影响。方法选取2014年3月-2016年1月胃十二指肠穿孔患者135例,随机分成观察组68例和对照组67例;观察组进行护理干预,对照组按常规进行护理;比较两组患者的肺部感染率、住院满意度。结果经过护理干预的观察组患者68例,肺部感染7例,感染率为10.3%;感染患者中通过痰培养共检出病原菌8株,以革兰阴性菌为主,共6株占75.0%;对照组患者感染率为26.9%,共检出病原菌20株,以革兰阴性菌为主,共15株占75.0%,两组患者肺部感染率比较差异有统计学意义(P<0.05);术后观察组患者住院满意度为95.59%,高于对照组85.1%(P<0.05)。结论胃十二指肠穿孔术后的患者给予护理措施的干预,能降低患者手术后肺部感染率,有利于患者的康复,提升患者住院满意度。

OBJECTIVE To explore the effects of nursing intervention on reducing postoperative pulmonary infec- tions of gastric and duodenal perforation and improving patients＇ hospitalized satisfaction. METHODS One hundred and thirty five patients with gastric and duodenal perforation from Mar. 2014 to Jan. 2016 were selected, and were randomly divided into observation group （68 cases） and control group （67 cases）. The former were given nursing intervention and the later only received regular nursing care. The patients＂ pulmonary infection rates and hospital- ized satisfaction were compared between the two groups. RESULTS Totally 7 cases occurred pulmonary infection in observation group, and the infections rate was 10.3%. By sputum culture, 8 strains of bacteria were detected, which were mainly 6 strains （75.0 %） of gram-negative bacteria. The infection rate of control group was 26.9 ~, and 20 strains of bacteria were isolated, which were mainly 15 strains （75.0%） of gram-negative bacteria. There was significant difference between the two groups in the pulmonary infection rate （P〈0.05）. The patients aver- age hospitalized satisfaction of observation group was 95.6 %, which was higher than 85.1% of control group（P〈0.05）. CONCLUSION Postoperative nursing intervention can reduce the risk of pulmonary infections in patients with gastric and duodenal perforation, which is beneficial for rehabilitation of patients and improving patients hos- pitalized satisfaction.