重症监护室患者并发肺部感染的原因及相应的护理对策研究

Causes of Complicated Pulmonary Infection in ICU Patients and Their Nursing Countermeasures

目的:分析重症监护室患者并发肺部感染的原因与相关护理对策。方法:将180例重症监护室患者随机分为观察组与对照组各90例,观察组给予加强护理,对照组则采用常规护理,观察两组患者并发肺部感染的情况,分析其影响因素,比较两组护理满意度。结果:观察组肺部感染发生率显著高于对照组(P<0.05);其独立危险因素有意识障碍、营养不良、排痰不畅、误吸、抗生素的长期使用及肺部原发疾病等;观察组护理满意度显著高于对照组(P<0.05)。结论:重症监护室患者肺部感染原因主要有意识障碍、排痰不畅及侵入操作等;加强口腔和鼻胃管等的护理能够更好地防止患者肺部感染的发生,值得临床广泛推广。

Objective： To analyze the causes of complicated pulmonary infection in ICU patients and their nursing countermeasures. Methods： 180 cases of ICU patients were randomly divided into observation group（90 cases） and control group（90 cases）, the observation group received intensive nursing while control group accepted conventional nursing, observed the occurrence of complicated pulmonary infection in two groups and analyzed the affected factors, then compared their nursing satisfaction. Results： The incidence of pulmonary infection in observation group was significantly higher than that of control group（P〈0.05）; the independent risk factors included conscious disturbance, malnutrition, unsmooth expectoration, aspiration, long-term antibiotics usage and primary lung diseases; the nursing satisfaction of observation group was significantly higher than that of control group（P〈0.05）. Conclusion： Pulmonary infection in ICU patients mainly includes conscious disturbance, unsmooth expectoration and invasive operation; enhancing the nursing of oral cavity and nasogastric tube can more effectively prevent the occurrence of pulmonary infection, which is worth widely promoting in clinical practice.