心外监护室感染监测及分时护理对心脏病患者术后恢复的影响

Application of extracardiac intensive care unit infection monitoring and time-sharing nursing in postoperative recovery of heart disease patients

目的探讨心外监护室感染监测及分时护理对提升心脏病手术患者术后恢复效果的临床价值,为临床心脏病手术患者的护理方案制定提供参考。方法选择2015年1月至2017年6月在我院行心脏手术的患者486例作为研究对象,按照手术顺序将患者编号,采用数字随机表法将其等分为对照组和观察组。对照组执行术后常规监测、护理程序,观察组患者在对照组基础上增加感染监测频次及分时护理。统计两组患者预后情况、疑似感染检出情况、确诊感染情况、感染后感染控制时间、入住ICU时间、入住普通病房时间、并发症发生情况并比较。结果观察组患者死亡率、感染死亡率比较差异无统计学意义(P> 0. 05)。观察组患者符合出院指征情况明显高于对照组(P <0. 05),转上级医院情况明显少于对照组(P <0. 05)。观察组患者确诊感染、入住ICU时间、入住普通病房时间、感染控制时间、并发症发生情况均明显低于对照组(P <0. 05),疑似感染检出情况高于对照组(P <0. 05)。结论心外监护室感染监测结合分时护理,可有效提高疑似感染病例检出率,及早采取防治措施,降低可能发生的感染带给患者危险,提升患者术后恢复质量。

Objective To explore the clinical value of extracardiac infection monitoring and time - sharing nursing in improving the postoperative recovery of patients with cardiac surgery, and to provide reference for the development of nursing programs for patients with clinical heart surgery. Methods A total of 486 patients who underwent cardiac surgery in our hospital from January 2015 to June 2017 were selected as research subjects, and they were numbered according to the order of surgery and were divided into control group and observation group by digital random table method. The control group was treated with routine postoperative monitoring and nursing procedures. The observation group was treated with increased frequency of infection monitoring and time - sharing care on the basis of the control group. The prognosis, detection of suspected infections, the confirmed infection status, the infection controltime, the time of admission to the ICU, the time of admission to the general ward, and the occurrence of complications of the two groups were collected and compared. Results There was no significant difference in mortality and infection mortality between the two groups（P 〉 0. 05）. The conditions suitable fordischarge in the patients of the observation group were significantly higher than that of the control group（P 〈 0. 05）, and the transfer to the higher - grade hospital was significantly lower than that in the control group（P 〈 0. 05）. The diagnosed infection time, the time of admission to the ICU, the time of admission to the general ward, the time of infection control, and the incidence of complications of the patients in the observation group were significantly lower than those of the control group（P 〈 0. 05）. The detection of suspected infection was higher than that of the control group（P 〈 0. 05）. Conclusion Intracranial intensive care unit infection monitoring combined with time - sharing nursing can improve the detection rate of suspected infection cases effectively, so that preventive measures can be taken early to reduce the risk of possible infections and improve the quality of postoperative recovery.