分级护理制度对重症颅脑外伤患者院内感染发生率及ICU入住时间的影响

Effect of Graded Nursing System on the Incidence of Nosocomial Infection and ICU Check-in Time

目的探讨分级护理制度对重症颅脑外伤患者院内感染发生率及ICU入住时间的影响。方法选取2018年1月~2019年1月在我院诊治的重症颅脑外伤患者114例,采用随机数字表法分为对照组和观察组,各57例。对照组采用常规护理,观察组采用分级护理制度,对比两组护理质量、院内感染发生率、ICU入住时间及病死率。结果观察组护理质量评分均高于对照组,差异有统计学意义(P<0.05);观察组院内感染发生率(8.77%)、ICU入住时间(18.44±4.35)d、病死率(7.01%)均小于对照组的24.56%、(24.77±6.56)d、15.78%,差异有统计学意义(P<0.05);观察组护理满意度(98.24%)高于对照组(80.71%),差异有统计学意义(P<0.05)。结论重症颅脑外科患者临床采用分级护理制度进行护理干预,可有效提高护理质量,有助于降低院内感染率和患者病死率,进一步提高临床护理满意度,促进患者康复。

Objective To investigate the effect of graded nursing system on the incidence of nosocomial infection and ICU stay in patients with severe craniocerebral trauma.Methods 114 patients with severe craniocerebral trauma diagnosed and treated in our hospital from January 2018 to January2019 were selected.Using the random number table method is divided into control group and observation group,with 57 cases in each group.The control group used routine nursing,and the observation group adopted a graded nursing system,the quality of care,the incidence of nosocomial infections,the length of ICU stay and the mortality rate were compared between the two groups.Results The nursing quality score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05);the incidence of nosocomial infection in the observation group(8.77%),ICU stay time(18.444.35)d,and the mortality rate(7.01%)were all less than 24.56%,(24.776.56)d,15.78%of the control group,the difference was statistically significant(P<0.05);nursing satisfaction of the observation group(98.24%)was higher than the control group(80.71%),the difference was statistically significant(P<0.05).Conclusion Severe craniocerebral surgery patients use a graded nursing system for clinical intervention,which can effectively improve the quality of nursing,help reduce the hospital infection rate and the mortality of patients,further improve the satisfaction of clinical nursing,and promote the rehabilitation of patients.