针对性护理在ICU气管切开术患者肺部感染的临床应用效果研究

Clinical Application of Targeted Nursing in Patients with Pulmonary Infection after Tracheotomy in ICU

目的探讨和分析针对性护理在ICU气管切开术患者肺部感染的临床应用效果。方法方便选取2018年3-12月实施ICU气管切开的患者126例作为研究对象,按随机原则划分为对照组与观察组,各63例,对照组采取的是基础护理策略,主要包括随时监测显示的体征、及详细症状,并配合患者处于适宜的体位。观察组在对照组护理的基础上,采取的是针对性护理策略,然后统计和评价ICU入住天数与住院费用,以及肺部感染发病率、以及抢救成功率与气管切开的具体时长。结果观察组患者的肺部感染发生率是1.59%,抢救成功率是96.83%,均显著优于对照组,该两组的肺部感染发生率和抢救成功率指标对比,差异有统计学意义(χ~2=10.474、9.558,P<0.05);观察组的ICU入住天数为(8.93±2.07)d,气管切开具体时长为(29.03±4.01)d,住院费用为(6 971.97±206.01)元,均显著低于对照组,差异有统计学意义(t=5.192、6.034、6.824,P<0.05)。结论对ICU气管切开术的处置而言,采取针对性护理策略显示了极大的现实效用,既可减少肺部感染的发病率,还可使得抢救成功率上升,值得全力普及。

Objective To explore and analyze the clinical effect of targeted nursing on pulmonary infection in patients undergoing tracheotomy in ICU. Methods Convenient selection of 126 patients who underwent tracheotomy in ICU from March to December 2018 were selected as the study subjects. According to the principle of randomization, they were divided into control group and observation group, 63 cases in each group. The control group adopted basic nursing strategies, including monitoring the signs and detailed symptoms at any time, and cooperating with the patients in the appropriate body position.On the basis of nursing care in the control group, the observation group adopted targeted nursing strategies, and then counted and evaluated the ICU stay days and hospitalization costs, as well as the incidence of pulmonary infection, as well as the rescue success rate and the specific length of tracheotomy. Results The incidence of pulmonary infection in the observation group was 1.59%, the success rate of rescue was 96.83%, which was significantly better than that in the control group.There were significant differences in the incidence of pulmonary infection and the success rate of rescue between the two groupthe, difference was statistically significants(χ~2=10.474, 9.558, P<0.05), with statistical significance. The ICU stay days in the observation group were(8.93±2.07)d, and the specific length of tracheotomy was(29.03±4.01)d. The cost of hospitalization was(6 971.97±206.01) yuan, which was significantly lower than that of the control group. There were statistically significant differences in the above indexes between the two groups(t=5.192, 6.034, 6.824, P<0.05). Conclusion For the treatment of tracheotomy in ICU, the adoption of targeted nursing strategy shows great practical effect, which can not only reduce the incidence of pulmonary infection, but also increase the success rate of rescue. It is worth popularizing.