预防性护理管理对于降低呼吸内科老年患者感染率的效果分析

Analysis of the Effect of Preventive Nursing Management on Reducing the Infection Rate of Elderly Patients in Respiratory Medicine

目的分析预防性护理管理对于降低呼吸内科老年患者感染率的效果。方法抽取2015年6月-2019年6月期间在该院接受治疗的呼吸内科老年患者366例为研究对象,分析这些患者的临床资料,按照受感染和未受感染将其命名为感染组和未感染组,其中未感染组患者为288例,感染组患者78例。分析感染组和未感染组两组患者危险因素。其次再将78例感染组患者按照随机抽样的方式平均分为两组,即对照组与实验组,每组患者均为39例,对照组患者实施常规护理,实验组患者实施预防性护理,调查两组患者护理治疗评分和满意度。结果感染组患者年龄、机械通气和住院时间均高于感染组(t=6.250、5.340、9.270,P<0.05);感染组抗生素超过两种、留置尿管、气管切开、气管插管以及应用激素患者均比未感染组多,差异有统计学意义(χ^2=7.120、6.250、7.640、11.360、6.790,P<0.05)。实验组患者护理治疗评分(94.3±2.6)分高于对照组(83.2±3.1)分,总满意度(94.43%)高于对照组(76.26%),差异有统计学意义(t=6.360,P<0.05;χ^2=7.130,P<0.05)。结论预防性护理管理能够显著降低呼吸内科老年患者感染率,提升患者的恢复效果,值得在临床上广泛推广。

Objective To analyze the effect of preventive nursing management on reducing the infection rate of elderly patients in respiratory medicine.Methods 366 elderly patients in the Department of Respiratory Medicine who were treated in the hospital from June 2015 to June 2019 were selected as the research objects.The clinical data of these patients were analyzed,and they were named as infected group and uninfected group according to infected and uninfected patients.In the infected group,there were 288 patients in the uninfected group and 78 patients in the infected group.The risk factors of patients in the infected group and the uninfected group were analyzed.Secondly,78 patients in the infection group were divided into two groups according to random sampling,namely the control group and the experimental group.Each group had 39 patients.The control group received routine care,and the experimental group received preventive care.Investigation of nursing treatment scores and satisfaction of the two groups of patients.Results The age of patients in the infected group,mechanical ventilation and were higher than those in the uninfected group(t=6.250,5.340,9.270,P<0.05);In the infected group hospital stay,more than two types of antibiotics,indwelling urinary tube,tracheotomy,tracheal intubation,and use of hormones were more than those in the uninfected group,the difference was statistically significant(χ^2=7.120,6.250,7.640,11.360,6.790,P<0.05).The nursing treatment score of patients in the experimental group(94.3±2.6)points was higher than that of the control group(83.2±3.1)points,and the total satisfaction degree(94.43%)was higher than that of the control group(76.26%),the difference was statistically significant(t=6.360,P<0.05;χ^2=7.130,P<0.05).Conclusion Preventive nursing management can significantly reduce the infection rate of elderly patients in respiratory medicine and improve the recovery effect of patients.It is worthy of widespread clinical application.