细节护理干预对老年慢性硬膜下血肿患者术后继发颅内感染发生率的影响研究

Effects of Detailed Nursing Intervention on the Incidence of Secondary Intracranial Infection in Elderly Patients with Chronic Subdural Hematoma

目的分析评价老年慢性硬膜下血肿患者采取细节护理干预,对术后继发颅内感染发生率的影响。方法该次将该院在2018年1月—2019年2月收治的老年慢性硬膜下血肿患者88例作为研究对象,平均分为两组;对照组患者给予常规护理方法,观察组则给予细节护理干预,对两组护理结果进行对比评估。结果①在术后继发颅内感染发生率方面,观察组为4.55%,和对照组的25.00%比较明显更低,两组数据差异有统计学意义(χ^2=10.278,P<0.05)。②观察组,手术时间为(190.81±12.62)min、术中出血量为(210.65±12.87)mL、住院时间为(10.82±1.13)d、住院费用为(25287.28±200.05)元;对照组分别为(191.32±12.51)min、(287.60±12.65)mL、(15.98±1.14)d、(28072.92±210.28)元。从数据可知,两组手术时间差异无统计学意义(t=1.283,P>0.05),但住院时间观察组明显短于对照组,术中出血量观察组明显少于对照组,住院费用观察组明显低于对照组,两组数据差异有统计学意义(t=10.295、5.287、8.267,P<0.05)。③在护理总满意度方面,观察组、对照组分别为95.45%、68.18%,观察组明显高于对照组高,两组数据差异有统计学意义(χ^2=10.287,P<0.05)。结论老年慢性硬膜下血肿患者采取细节护理干预,可降低术后继发颅内感染发生率,改善手术预后效果,值得推广及应用。

Objective To analyze the effect of detailed nursing intervention on the incidence of secondary intracranial infection in elderly patients with chronic subdural hematoma.Methods Eighty-eight elderly patients with chronic subdural hematoma treated in the hospital from January 2018 to February 2019 were taken as the research objects,and they were divided into 2 groups on average.The patients in the control group were given conventional nursing methods,and the observation group was given detailed nursing intervention,comparing and evaluating the nursing results of the two groups.Results 1.In terms of the incidence of secondary intracranial infection after surgery,the observation group was 4.55%,which was significantly lower than the control group's 25.00%.The data in the two groups were significantly different(χ^2=10.278,P<0.05).2.In the observation group,the operation time was(190.81±12.62)min,the intraoperative blood loss was(210.65±12.87)mL,the length of hospital stay was(10.82±1.13)d,and the hospitalization cost was(25287.28±200.05)yuan;the control group were(191.32±12.51)min,(287.60±12.65)ml,(15.98±1.14)d,and(28072.92±210.28)yuan,respectively.From the data,there is no statistically significant difference in the operation time between the two groups(t=1.283,P>0.05),but the observation time in the observation group was significantly shorter than the control group,the intraoperative blood loss observation group was significantly less than the control group,and the hospitalization cost observation group was significantly lower.In the control group,the difference was statistically significant(t=10.295,5.287,8.267,P<0.05).3.In terms of overall nursing satisfaction,the observation group and the control group were 95.45%and 68.18%,respectively.The observation group was significantly higher than the control group,and the data of the two groups were statistically significanly different(χ^2=10.287,P<0.05).Conclusion Detailed nursing intervention in elderly patients with chronic subdural hematoma can reduce the incidence of secondary intracranial infection after surgery and improve the prognosis of surgery.It is worth promoting and applying.