综合性方法对特重烧伤后肠源性感染患者的护理效果研究

Nursing Effect of Comprehensive Method on Patients with Intestinal Infection after Severe Burns

目的探讨综合性方法对特重烧伤后肠源性感染患者的护理效果。方法选取2000—2002年合山市人民医院收治的60例特重烧伤后肠源性感染患者,根据护理对策,将其分为对照组和试验组,各30例。对照组采用常规方法护理,试验组采用综合性方法护理。记录两组护理后心理顾虑、生理问题、信任感评分。结果 60例患者中,28例(46.7%)为伤后48 h禁食伴休克过程中发生;13例(21.7%)为伤后48 h禁食过程中发生;12例(20.0%)为伤后早期肠道营养伴休克过程中发生;7例(11.7%)为伤后早期肠道营养过程中发生。试验组护理后心理顾虑、生理问题、信任感评分均高于对照组(P<0.05)。结论对特重烧伤后肠源性感染患者实施综合性方法,能够提高治疗效果,改善预后,值得临床推广。

Objective To explore the nursing effect of comprehensive method on intestinal infection in patients with severe burns. Methods 60 patients with intestinal infection after severe burns in the People’s Hospital of Heshan were selected between 2000 and 2002. The patients were divided into control group and trial group according to nursing methods,each of 30 cases. The control group was given routine nursing,the trial group was given comprehensive nursing. The scores of psychological concerns,physical problems and trust were recorded after nursing. Results 28 patients（ 46. 7%） were occurred in fast for 48 h after injury with shock,13 patients（ 21. 7%） were occurred in fast for 48 h after injury,12 patients（ 20. 0%） were occurred in early enteral nutrition after injury with shock,7 patients（ 11. 7%） were occurred in early enteral nutrition after injury. The scores of psychological concerns,physical problems and trust in trial group were higher than those in control group（ P〈 0. 05）. Conclusion Comprehensive method can improve the effect and prognosis in patients with intestinal infection after severe burns,and is wothy of promotion.