预见性护理在预防神经外科重症监护室气管切开患者并发肺部感染中的应用价值

Application value of predictive nursing in preventing pulmonary infection in patients undergoing tracheotomy in neurosurgical intensive care unit

目的探讨预见性护理对神经外科重症监护室(NICU)气管切开患者并发肺部感染的预防价值。方法选取2015年6月~2019年6月我院收治的90例气管切开患者为研究对象,按照随机数字表法分为观察组(n=45)与对照组(n=45)。对照组采用常规护理措施,观察组采用常规护理措施及预见性护理。比较两组的肺部感染情况、抗感染治疗效果、不良反应总发生率及护理满意度。结果观察组肺部感染发生率、不良反应总发生率低于对照组,差异均有统计学意义(P<0.05);观察组抗感染治疗有效率、护理满意度各评分高于对照组,差异均有统计学意义(P<0.05)。结论对NICU气管切开患者实施预见性护理临床效果好,可有效减少患者肺部感染,提高抗感染治疗有效率,降低不良反应发生率,提高患者及家属的满意度,值得临床应用。

Objective To explore the clinical application value of predictive nursing in preventing pulmonary infection in patients undergoing tracheotomy in neurosurgical intensive care unit(NICU).Methods A total of 90 patients with tracheotomy and pulmonary who were admitted to our hospital from June 2015 and June 2019 were selected as the subjects.They were divided into the observation group(n=45)and the control group(n=45)by random number table method.The control group was given routine nursing,while the observation group was given both routine nursing and predictive nursing.The situation of pulmonary infection,effects of anti-infective treatment,total incidence of adverse reactions and satisfaction were compared between the two groups.Results The incidence rate of pulmonary infection and the total incidence rate of adverse reactions in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The effective rate of anti-infective therapy and satisfaction scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion The clinical effect of predictive nursing is good in patients undergoing tracheotomy in NICU.It can effectively reduce pulmonary infection,improve the effective rate of anti-infective treatment,reduce the incidence of adverse reactions,and improve the satisfaction of patients and their family members.It is worthy of clinical use.