呼吸道护理管理预防肝衰竭病人肺部感染的效果观察

Effect of the respiratory care management in the prevention of pulmonary infection in hepatic failure patients

目的:观察呼吸道护理管理预防肝衰竭病人肺部感染的效果。方法:152例肝衰竭病人按随机数表法分为预防组(n=76)和常规组(n=76)。预防组在基于常规护理之上安排专员小组增添呼吸道护理,同时制定护理质量的衡量标准以及全方位护理监控。比较2组病人感染相关病死率、肺部感染率、人均住院时间和人均住院费等。结果:预防组感染相关死亡占肺部感染人数为38.89%,低于常规组的50.00%,但差异无统计学意义(P>0.05),占全部人数为9.21%,显著低于常规组的23.69%(P<0.01);预防组的肺部感染发生率为23.68%,显著低于常规组的47.37%(P<0.01);常规组住院时间、人均住院费均比常规组少(P<0.01)。结论:呼吸道护理可预防肝衰竭病人肺部感染,降低感染率、病死率,缩短住院所需费用及时间。

Objective：To observe the effects of the respiratory care management in the prevention of pulmonary infection in hepatic failure patients. Methods：One hundred and fifty-two patients with hepatic failure were divided into the prevention group and conventional group using a random number table method（76 cases each group）. The prevention group were nursed with the additional staff responsible for respiratory care based on the routine nursing,and the nursing standard of care measure was formulated for all-round monitoring. The related mortality rate, lung infection rate, average length of hospital stay and consumption between two groups were compared. Results：Among the patients with lung infection, the ratio of related-infection death in prevention group and conventional group were 38. 89% and 50. 00%,respectively,and the difference of which was not statistically significant（P 〉0. 05）. Among all patients,the ratio of related-infection death in prevention group （ 9. 21%） was significantly lower than that in conventional group （23. 69%）（P〈0. 01）. The lung infection rate in prevention group（23. 68%） was significantly lower than that in conventional group （47. 37%）（P〈0. 01）. The length of hospital stay and cost in prevention group were less than those in conventional group（P〈0. 01）. Conclusions：The respiratory care can prevent the lung infection,reduce infection and mortality rates,and shorten the hospitalization time and cost in patients with hepatic failure.