氧化电位水漱口对住院心身障碍疾病患者医院感染的影响

Effect of electrolyzed oxidizing water gargle on nosocomial infection in patients with psychosomatic disorders

目的探究健康宣教联合氧化电位水漱口对住院心身障碍疾病患者医院感染的影响,为临床预防住院心身障碍疾病患者发生医院感染提供参考。方法选择2014年1月-2016年7月医院收治的心身障碍疾病患者126例,分为对照组和试验组,各63例。对照组患者采用常规的治疗方法,主要包括常规中西药结合治疗,采用生理盐水进行口腔护理、吸氧管道进行常规消毒后使用;试验组采用氧化电位水漱口治疗,两组均治疗一个月;比较两组患者感染率、病原菌、感染部位及干预前后的焦虑自评量表评分(SAS)和抑郁自评量表评分(SDS)。结果试验组感染患者2例,感染率为3.17%,低于对照组7例,11.11%(P<0.05);试验组感染部位为上呼吸道和胃肠道,共培养分离病原菌2株;对照组感染部位以下呼吸道为主,共培养分离病原菌7株,差异有统计学意义(P<0.05);治疗后,试验组患者SAS和SDS评分分别为(36.28±4.59)、(39.76±4.24)分低于对照组(43.33±4.62)、(45.71±4.34)分(P<0.05)。结论氧化电位水漱口结合宣教能减少病原菌滋生,降低住院心身障碍疾病患者医院感染率。

OBJECTIVE To explore the effect of health education combined with oxidation potential water gargle on hospitalized patients with psychosomatic impairment in nosocomial infection,so as to provide the basis for clinical prevention of nosocomial infection in hospitalized patients with psychosomatic impairment.METHODS A total of126 patients with psychosomatic disorders were selected during the period from Jan.2014 to Jul.2016 in hospital,and were randomly divided into control group and experimental group,with 63 cases in each group.The patients in control group were treated by conventional methods,including conventional Chinese and western medicine combined with oral care with saline and routine use of oxygen-absorbing tubes after disinfection.The experimental group was treated with prophylactic and oxidative potential water gargling on the basis of control group.The two groups were treated for one month.The infection rate,pathogens,infection site and anxiety scale（SAS）and depression scale（SDS）before and after treatment were compared between the two groups.RESULTSIn experimental group,2 patients were infected,and the infection rate was 3.17%,which was lower than that in the control group（7 cases and 11.11%,P〈0.05）.The infection sites in experimental group were mainly upper respiratory tract and gastrointestinal tract,and 2 strains of pathogens were cultured and isolated.The infection site in control group was mainly lower respiratory tract,and 6 strains of pathogens were co-cultivated and isolated.There was significant difference in the number of pathogenic bacteria between the two groups（P〈0.05）.After treatment,the SAS and SDS of experimental group were（36.28±4.59）and（39.76 ± 4.24）points,which were lower than（43.33±4.62）and（45.71±4.34）points of control group（P〈0.05）.CONCLUSION Oxidative potential water mouthwash combined with propaganda can reduce the growth of pathogenic bacteria and reduce the nosocomial infection rate of hospitalized patients with psychosomatic impairment.