危重症专职护理小组在MRSA感染肺炎患者中的应用观察

Application of critically ill full-time nursing team in patients with pneumonia infected by MRSA

目的探讨危重症专职护理小组在耐甲氧西林金葡菌(MRSA)感染肺炎患者中的应用效果。方法选取2019年1月至2020年2月本院MRSA感染肺炎患者85例,2019年1月至2019年6月41例为对照组,接受常规护理干预,2019年7月至2020年2月44例为观察组,在对照组基础上接受危重症专职护理小组干预;比较两组康复指标(体温复常时间、感染控制时间、住院时间)、干预前后自测健康评定量表(SRHMS)评分、护理质量。结果观察组体温复常时间、感染控制时间、住院时间分别为(6.02±0.98)d、(8.83±1.02)d、(11.59±1.82)d,均短于对照组(9.14±1.09)d、(11.45±1.25)d、(12.74±2.33)d,差异均有统计学意义(均P<0.05);干预前,两组患者社会健康、心理健康、生理健康SRHMS评分比较,差异均无统计学意义(均P>0.05);干预后,观察组社会健康、心理健康、生理健康SRHMS评分分别为(90.85±6.49)分、(126.62±7.91)分、(152.68±6.92)分,均高于对照组(80.33±6.41)分、(114.55±8.14)分、(137.51±6.48)分,差异均有统计学意义(均P<0.05);观察组基础护理、病房环境与安全、专科护理、健康教育、急救药品与器械评分分别为(15.62±3.49)分、(15.96±3.17)分、(15.74±3.58)分、(16.03±2.93)分、(15.56±3.14)分,均高于对照组(8.51±2.23)分、(9.28±2.67)分、(9.15±2.62)分、(11.05±2.04)分、(9.69±2.88)分,差异均有统计学意义(均P<0.05)。结论危重症专职护理小组应用于MRSA感染肺炎患者中,可促进康复,改善健康状况,提高护理质量。

Objective To explore the application effect of a critically ill full-time nursing team in patients with methicillin-resistant Staphylococcus aureus(MRSA)pneumonia.Methods A total of 85 patients with MRSA infection and pneumonia treated at our hospital from January,2019 to February,2020 were selected.Among them,41 patients treated from January to June,2019 were set as a control group and received routine nursing intervention,and 44 cases from July 2019 to February 2020 were set as an observation group and received the intervention of the critically ill full-time nursing team on the basis of the control group.The rehabilitation indicators,including time recovering to normal body temperature,infection control time,and hospital stay,scores of Self-rated Health Measurement Scale Version1.0(SRHMS)before and after the intervention,and nursing quality were compared between the two groups.Results The time of body temperature returning to normal,infection control time,and hospitalization time were shorter in the observation group than in the control group[(6.02±0.98)d vs.(9.14±1.09)d,(8.83±1.02)d vs.(11.45±1.25)d,and(11.59±1.82)d vs.(12.74±2.33);all P<0.05].Before the intervention,there were no statistical differences in the SRHMS scores of social,psychological,and physical health between the two group;after the intervention,the SRHMS scores of social,psychological,and physical health were higher in the observation group than in the control group[(90.85±6.49)vs.(80.33±6.41),(126.62±7.91)vs.(114.55±8.14),and(152.68±6.92)vs.(137.51±6.48);all P<0.05].After the intervention,the scores of basic nursing care,ward environment and safety,specialist nursing,health education,and nursing care of emergency medicines and equipment were higher in the observation group than in the control group[(15.62±3.49)vs.(8.51±2.23),(15.96±3.17)vs.(9.28±2.67),(15.74±3.58)vs.(9.15±2.62),(16.03±2.93)vs.(11.05±2.04),and(15.56±3.14)vs.(9.69±2.88);all P<0.05].Conclusion The critically ill full-time nursing team is applied to patients with MRSA pneumonia,which can improve their recovery and health and the quality of care.