小组焦点访谈法构建集束化护理措施对儿童脑室-腹腔分流术术后感染的影响

Effect of cluster nursing by group focus interviewing on postoperative infections in children patients after ventricular-abdominal shunt

目的探讨小组焦点访谈法构建的集束化护理措施对儿童脑室-腹腔分流术术后感染的影响。方法选择2016年1月-2017年3月本院收治的92例脑积水患儿为研究对象,对照组(2016年1月-6月入院)围术期行常规护理;干预组(2016年7月-2017年3月)在围术期常规护理基础上增加应用小组焦点访谈法构建的集束化护理措施。结果干预后两组患儿血清降钙素原阳性率在术后第2、4天比较,差异无统计学意义(均P>0.05);第6天比较差异有统计学意义(P<0.05),干预组低于对照组。干预后两组患儿感染率和住院天数比较,差异具有统计学意义(均P<0.05),干预组感染率低于对照组,干预组住院天数少于对照组。结论小组焦点访谈法构建的集束化措施能降低患儿脑室-腹腔分流术术后感染率,减少住院天数,值得临床推广应用。

Objective To investigate the effect of the perioperative cluster nursing on the postoperative infections in children patients after ventriculo-peritoneal shunt.Methods92patients with hydrocephalus from January2016to March2017in our hospital were included in the study.The control group who hospitalize from January to June2016were managed with routine nursing during the perioperative period.After the implementation,the cluster nursing measures constructed by the focus group interviews were added in the intervention group who hospitalized from July2016to March2017.Results Compared with the pre-implementation,the positive rate of PCT was insignificantly different on days2and4after the operation(P>0.05).However the difference was statistically significant on the6th day(P<0.05),the postoperative infection rate significantly lower than that of the control group and so it was with the hospital stay.Conclusion The cluster nursing by focus group interviews can lower the infectious rate and shorten the hospital stay,worthy of clinical promotion.