感染护理技能培训对烧伤患者感染的防控效果

Effect of nursing skill training on the prevention and control of infection for patients with burn

目的探讨感染护理技能培训对烧伤患者感染的防控效果。方法选择2014年1月至2014年12月于本院进行治疗的烧伤患者,选取判定为2级烧伤、致伤原因均为热源烧伤的90例患者作为研究对象,按照随机数表法,分为试验组和对照组(每组各45例患者),试验组患者的护理人员进行专业的感染护理技能培训,而对照组患者的护理人员未进行专业的感染护理技能培训,且一旦在护理过程中患者情况未见好转,需及时采取严格专业的无菌护理措施,对患者进行治疗。6个月后分别记录两组患者在护理过程中的抑郁评分(SDS)、感染率、病死率以及两组患者对于其护理方式的满意度评分。结果试验组和对照组患者的SDS评分为(34.835±4.309)分和(48.421±4.052)分,差异具有统计学意义(t=3.311、P=0.001)。试验组患者的感染率和病死率分别为10.1%和5.9%,对照组患者的感染率和病死率为30.2%和18.3%,差异均具有统计学意义(χ~2=8.011、P=0.002,χ~2=10.991、P=0.009)。试验组和对照组患者对其护理满意度评分为(87.41±7.01)和(61.49±4.98)分,差异具有统计学意义(t=2.353、P=0.019)。结论感染护理技能培训对烧伤患者感染具有较好的防控效果,且患者对于该护理方式的认可度亦较高。

Objective To investigate the effect of nursing skill training on the prevention and control of infection for patients with burn. Methods From January 2014 to December 2014, a total of 90 patients with burn were treated in our hospital, and were divided into experimental group and control group （45 cases in each group） by random number table method. The nursing staff for patients in the experimental group had completed the training of nursing skills, but those for patients in the control group did not carry out the training of nursing skills. After 6 months, the depression score （SDS） in the nursing process, infection rate, mortality, as well as the satisfaction of patients to the nursing staff in the two groups were compared, respectively. Results The SDS scores were 34.835 ± 4.309 and 48.421 ± 4.052 in patients of experimental group and control group, with signifcant difference （t = 3.311, P = 0.001）. The infection rate and mortality rate were 10.1% and 5.9% for patients in the experimental group, which were 30.2% and 18.3% for patients in the control group, both with signifcant differences （χ2 = 8.011, P = 0.002; χ2 = 10.991, P = 0.009）. The satisfaction degrees of nursing were 87.41 ± 7.01 and 61.49 ± 4.98 for patients in the experimental group and control group, respectively, with signifcant difference （t = 2.353, P = 0.019）. Conclusions The infection rateof patients with nursing skill training was signifcantly decreased, and the recognition degree of the nursing method was also high among patients with burn.