循证护理对住院脊柱外科患者肺部感染的影响

Effect of evidence-based nursingon pulmonary infection in hospitalized patients with spinal surgery

目的探讨循证护理对住院脊柱外科患者肺部感染的影响。方法选取2014年7月～2016年6月我院住院脊柱外科患者88例,依据住院时间分为观察组(循证护理,2015年7月～2016年6月,41例)和对照组(常规护理,2014年7月～2015年6月,47例),比较两组患者的肺部感染发生率、发生原因、住院相关指标及护理满意率。结果观察组肺部感染3例,发生率为7.32%,对照组肺部感染8例,发生率为17.02%。观察组41例,肺部感染发生原因:无法主动呼气2例,肺组织不能完全膨胀1例;对照组47例,肺部感染发生原因:无法主动呼气4例,肺组织不能完全膨胀1例,呼吸肌疲劳1例,体位管理不当2例。观察组患者的呼吸机使用时间、ICU时间和住院时间均明显低于对照组,差异有统计学意义(P <0.05)。观察组41例,满意率为95.12%,对照组47例,满意率为80.85%。结论循证护理能够在循证支持的基础上明确住院脊柱外科患者的肺部感染发生原因,有效降低肺部感染发生率,对患者康复具有明显的促进作用,值得临床推广。

Objective To explorethe effect of evidence-based nursing on pulmonary infection in hospitalized patientswith spinal surgery. Methods Eighty-eight patients with spinal surgery who were hospitalized in department of spine surgery in our hospital from July 2014 to June 2016 were selected. According to the time of hospitalization, patients were divided into the observation group （evidence-based nursing, fi＇om July 2015 to June 2016, 41 eases） and the control group （conventional nursing, from July 2014 to June2015, 47 eases）. Incidence of pulmonary infection, causes and hospitalization-related indexes, satisfaction rate of nursing of two groups were compared. Results There were 3 eases of lung infection in the observation group and the incidence rate was 7.32%. There were 8 eases of lung infection in the observation group and the incidence rate was 17,02%. Causes of lung infection of 41 eases in the observation group： 2 eases were without ability to breathe out actively and 1 eases of lung tissue without ability to expand completely. Causes of lung infection of 47 eases in the control group： 4 eases were without ability to breathe out actively, 1 eases of lung tissue without ability to expand completely, 1 ease of respiratory muscle fatigue and 2 eases of improper body position management. Ventilator time, ICU time and hospitalization stay of patients in the observation group were all significantly lower than those in the control group（P 〈 0.05）. Satisfaction rates of 41 patients in the observation group and 47 patients in the control group were respectively95.12% and 80.85%. Conclusion Evidence-based nursing can clarify the causes of pulmonary infection in patients with spinal surgery at basis of evidence-based support. And it can effectively reduce the incidence of pulmonary infection and significantly promote the rehabilitation of patients, which is worthy of clinical promotion.