目标监测联合强化干预对心内科患者肺部感染的预防效果分析

Effect of targeted monitoring combined with intensive intervention on prevention of pulmonary infections in patients of cardiology department

目的探究目标监测联合强化干预对住院心内科患者肺部感染的预防控制效果。方法选取2016年4-11月于医院接受治疗的心内科患者535例,分为干预组和常规组;常规组患者实施目标监测治疗,干预组在常规组的基础上实行强化干预处理,观察两组患者肺部感染率、肺部感染预防控制知识的知晓率,抬高床头的符合率、医务工作人员手部卫生的依从率及正确率。结果常规组肺部感染率16.55%,高于干预组感染率6.12%(P<0.05);干预组患者对肺部感染预防控制知识的知晓率96.33%高于常规组的77.93%(P<0.05);干预组抬高床头的符合率、医务工作人员手部卫生清洁的执行率和正确率均高于常规组,差异有统计学意义(P<0.05)。结论目标性监测联合强化干预治疗方式对降低患者肺部感染率及提高患者感染预防控制知识的知晓率均优于单纯目标性监测。

OBJECTIVE To explore the effect of targeted monitoring combined with intensive intervention on prevention and control of pulmonary infections in hospitalized patients of cardiology department.METHODS A total of535 patients who were treated in department of cardiology from Apr 2016 to Nov 2016 were enrolled in the study and divided into the intervention group and the conventional group.The conventional group was treated with targeted monitoring,while the intervention group was given the intensive intervention combined with the targeted monitoring.The incidence of pulmonary infections,awareness rate of knowledge about prevention and control of pulmonary infections,coincidence rate of raising the bedside and compliance rate and accuracy of hand hygiene of health care workers were observed and compared between the two groups of patients.RESULTS The incidence rate of pulmonary infection of the conventional group was 16.55%,significantly higher than 6.12% of the intervention group（P〈0.05）.The awareness rate of knowledge about prevention and control of pulmonary infection was 96.33%in the intervention group,significantly higher than 77.93% in the conventional group（P〈0.05）.The coincidence rate of raising the bedside and compliance rate and accuracy of hand hygiene of health care workers were significantly higher in the intervention group than in the conventional group（P〈0.05）.CONCLUSIONThe targeted monitoring combined with intensive intervention is superior to the single targeted monitoring in reducing the incidence of pulmonary infections and raising the awareness rate of knowledge about prevention and control of infections.