综合护理干预对神经外科吸入性肺炎患者的护理效果及其影响因素分析

Effect of Comprehensive Nursing Intervention on Patients with Inhalation Pneumonia and Influencing Factors Analysis

目的分析综合护理干预对神外吸入性肺炎患者影响因素。方法随机选取我院2017年1月-2018年1月收治的神经外科吸入性肺炎患者80例,采用双盲法将其分成对照组(接受基础护理)与观察组(接受综合护理干预),每组40例。比较两组患者护理满意度、生活质量及吸入性肺炎治愈时间、住院时间及相关因素。结果观察组及对照组患者护理满意度差异比较有统计学意义(P<0.05)。观察组患者SS-QOL总分(186.7±32.26)高于对照组(P<0.05)。观察组患者肺炎治愈时间、住院时间少于对照组(P<0.05)。两组患者年龄≥70岁、意识障碍、胃食管反流、经鼻饲养、吞咽障碍、体位不当、意识障碍差异比较无统计学意义(P>0.05)。观察组呼吸机支持比低于对照组(P<0.05)。结论年龄≥70岁、意识障碍、胃食管反流等是神经外科吸入性肺炎主要影响因素,给与综合护理干预能有效改善患者生活质量,减少住院时间,促进患者痊愈,建议使用。

Objective To investigate the effect of comprehensive nursing intervention on patients with inhalation pneumonia and influencing factors.Methods 80 patients with inhalation pneumonia admitted to our hospital from January 2017 to January 2018 were randomly selected and divided into two groups by double blind method,40 cases each.The control group received basic nursing and the observation group received comprehensive nursing intervention.Nursing satisfaction,quality of life,cure time of aspiration pneumonia,hospitalization time and related factors were compared between the two groups.Results Nursing satisfaction degree showed significant difference between groups(P<0.05).The SS-QOL total score of the observation group was(186.7±32.26),which was higher than that of the control group(P<0.05).The cure time of pneumonia and hospitalization time in the observation group were shorter than those in the control group(P<0.05).The proportion of patients aged ≥70 years,consciousness disturbance,gastroesophageal reflux,nasal feeding,dysphagia and improper posture showed no significant difference(P>0.05).The ventilator support ratio in the observation group was lower than that in the control group(P<0.05).Conclusion Age(≥70 years old),disturbance of consciousness and gastroesophageal reflux are the main influencing factors of inhalation pneumonia in neurosurgery department.Comprehensive nursing intervention can effectively improve the quality of life of patients,shorten the hospitalization length,and promote the recovery of patients.