预防性护理在呼吸内科医院感染控制中的效果分析

Effect Analysis of Preventive Nursing in Hospital Infection Control of Respiratory Medicine

目的探讨预防性护理干预在呼吸内科医院感染控制中的效果。方法回顾性分析2015年1月至2016年7月收治的800例重症患者(对照组)的临床资料,归纳其发生感染的高危因素,制定预防性护理干预措施;预防性护理干预实施后,分析2016年8月至2017年12月收治800例重症患者(观察组)感染情况,比较两组患者感染率、护理质量评分、护理满意度。结果患者年龄、住院时间、气管插管/切开、导管留置、机械通气及抗生素使用均是呼吸内科感染的高危因素(P均<0.05),预防性护理干预方法实施后,患者感染率、护理质量评分、护理满意度均有显著改善(P均<0.05)。结论预防性护理干预方法能够最大限度控制呼吸内科重症患者感染的危险因素,确保患者安全。

Objective To investigate the effect of preventive nursing intervention in nosocomial infection control in respiratory medicine. Methods The clinical data of 800 critically ill patients（control group） admitted from January 2015 to July 2016 were retrospectively analyzed. The risk factors for infection were summarized and preventive nursing interventions were developed. After the implementation of preventive nursing intervention, analysis from August 2016 to December 2017, the infection status of 800 critically ill patients（observation group） was treated. The infection rate, nursing quality score and nursing satisfaction of the two groups were compared. Results Patient age, hospital stay, tracheal intubation/incision, catheter indwelling, mechanical ventilation and antibiotic use were all risk factors for respiratory infection（P〈0.05）. After the implementation of preventive nursing intervention, patient infection rate and nursing both quality score and nursing satisfaction were significantly improved（P〈0.05）. Conclusion Preventive nursing interventions can maximize the risk factors for infection in patients with severe respiratory diseases and ensure patient safety.