4F干预神经外科患者术后颅内感染的影响

Effect of 4F intervention on postoperative intracranial infection in neurosurgery patients

目的探究4F(4Full)干预神经外科患者术后颅内感染的影响。方法选取2015年3月-2017年3月于医院行神经外科颅脑术的157例患者为研究对象,按照随机数表法将其分为对照组78例和试验组79例,对照组给予常规干预,试验组在对照组的基础上给予4F干预。比较两组患者干预前后的感染率、心理健康状况、治疗依从性以及生存质量,并对术后颅内感染患者的病原菌进行分析。结果试验组患者感染发生率为7.59%(6/79),低于对照组患者的19.23%(15/78)(χ2=4.586,P=0.032);21例颅内感染患者中共检测出病原菌34株,其中革兰阳性菌11株占32.35%、革兰阴性菌23株占67.65%;干预后,试验组患者焦虑与抑郁评分分别为(41.15±7.42)分、(40.76±6.72)分,均低于对照组患者的(55.21±7.56)分、(57.27±8.44)分(P<0.05);试验组患者治疗依从性优于对照组患者(P<0.05);干预后,试验组患者各项生存质量评分分别为(67.59±11.62)分、(66.72±8.73)分、(66.74±9.32)分、(70.76±10.83)分,均高于对照组患者的(57.21±7.65)分、(59.97±7.45)分、(55.36±3.45)分、(61.35±8.47)分(P<0.05)。结论 4F干预可有效提高神经外科术后颅内感染患者的心理健康水平、治疗依从性及生存质量水平,干预效果较好,值得在临床推广使用。

OBJECTIVE To explore the effect of 4 Fintervention on postoperative intracranial infection in neurosurgical patients.METHODS A total of 157 patients who underwent neurosurgical cranial surgery in the hospital from Mar.2015 to Mar.2017 were selected as study subjects,and were divided into control group of 78 cases and observation group of 79 cases according to the random number table method.The conventional intervention was adopted in control group,and 4 Fintervention was adopted in observation group based on the control group.The infection rate,mental health status,treatment compliance and quality of life between the two groups before and after the intervention were compared,and the pathogens in patients with postoperative intracranial infection were analyzed.RESULTS The incidence of infection in patients in the observation group was 7.59%（6/79）,which was lower than19.23%（15/78）in the control group（χ^2=4.586,P=0.032）.A total of 34 pathogens were detected in 21 cases of patients with intracranial infection,including 11 strains（32.35%）of gram-positive bacteria,and 23 strains（67.65%）of gram-negative bacteria.After the intervention,the scores of anxiety and depression in the observation group were（41.15±7.42）points and（40.76±6.72）points respectively,which were lower than（55.21±7.56）points and（57.27±8.44）points of the control group（P〈0.05）.Patients in the observation group had better treatment compliance than those in the control group（P〈0.05）.After intervention,the quality of life scores in the observation group were（67.59±11.62）points,（65.72±8.73）points,（66.74±9.32）points,and（70.76±10.83）points,which were higher than（57.21 ±7.65）points,（59.97±7.45）points,（55.36±3.45）points,and（61.35±8.47）points in the control group（P〈0.05）.CONCLUSION4 Fintervention can effectively improve the mental healthn,treatment compliance and quality of life in patients with neurological postoperative intracranial infectio,and the intervention effect is better,which deserves to be used clinically.