综合护理干预在重症监护室脑出血术后患者肺部感染预防护理中的应用效果

Effect of Comprehensive Nursing Intervention on Prevention and Nursing of Pulmonary Infection in Patients with Cerebral Hemorrhage in Intensive Care Unit

目的探讨综合护理干预对预防重症监护室脑出血术后患者肺部感染的临床效果。方法选择2017年8月至2018年8月我院重症监护室接收的100例脑出血术后患者为研究对象,根据双盲分组法将患者分为对照组和观察组,每组50例,所有患者治疗方法相同,对照组患者接受常规性护理方法,观察组患者展开护理干预,对比不同护理的效果和预防肺部感染作用。结果对照组护理满意度为80.00%,低于观察组患者96.00%,差异有统计学意义(P<0.05)。两组患者护理前日常活动能力评分和运动功能评分比较,差异无统计学意义(P>0.05),护理后两组患者两项评分均改善,与对照组相比较,观察组患者改善效果更明显,差异有统计学意义(P<0.05)。两组患者疾病认知度评分、住院时间以及肺部感染率,观察组疾病认知度评分高于对照组,住院时间以及肺部感染率低于对照组,差异有统计学意义(P<0.05)。结论针对重症监护室脑出血术后患者,为其提供护理干预措施可提高护理满意度,同时还能够改善患者运动功能和生活能力,降低肺部感染率,临床效果显著。

Objective To explore the clinical effect of comprehensive nursing intervention on the prevention of pulmonary infection in patients after cerebral hemorrhage in the intensive care unit.Methods A total of 100 postoperative patients with intracerebral hemorrhage received in the intensive care unit of our hospital from August 2017 to August 2018 were selected as the research object.According to the double-blind grouping method,the patients were divided into the control group and the observation group,with 50 cases in each group.The treatment methods of all patients were the same.The patients in the control group received routine nursing methods,and the patients in the observation group carried out nursing intervention,To compare the effects of different nursing and the role of preventing pulmonary infection.Results The nursing satisfaction rate of the control group was 80.0%,which was lower than 96.0%of the observation group,and the difference was statistically significant(P<0.05).There was no statistically significant difference between the two groups of patients'daily activity scores and motor function scores before nursing,the difference was not statistically significant(P>0.05).After nursing,both scores of the two groups of patients improved.Compared with the control group,the observation group had a more obvious improvement effect,the difference was statistically significant(P<0.05).The disease awareness score,length of stay and lung infection rate of the two groups of patients,the disease awareness score of the observation group was higher than that of the control group,while the length of stay and the rate of lung infection were lower than those of the control group.the differences were statistically significant(P<0.05).Conclusion For postoperative patients after cerebral hemorrhage in the intensive care unit,providing them with nursing intervention measures can improve nursing satisfaction,and at the same time can improve patients'motor function and living ability,reduce the rate of lung infection,and have significant clinical effects.