护理干预对肺癌患者化疗期间多重耐药菌感染影响的分析

Effect of nursing intervention on multidrug resistant bacterial infection in lung cancer patients undergoing chemotherapy

目的 探讨护理干预对肺癌患者化疗期间多重耐药菌感染的影响。方法 选取2017年8月至2021年6月间陕西省第四人民医院收治的40例肺癌患者作为研究目标,采用随机数表法分为试验组和对照组,每组20例。对照组采用传统护理措施干预,试验组采用强化护理干预,研究两组患者的护理满意度、多重耐药菌感染防控知信行评分、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分。结果 试验组护理满意度为95.0%,高于对照组的70.0%,差异有统计学意义(P<0.05)。护理前,两组患者的HAMA、HAMD评分比较,差异无统计学意义(P>0.05)。护理后,试验组与对照组相比,HAMA、HAMD评分降低,多重耐药菌感染防控知信行评分较高,差异均有统计学意义(均P<0.05)。结论 肺癌患者采用强化护理干预,可明显提升多重耐药菌感染防控知信行评分,缓解焦虑抑郁情绪,提高护理满意度,值得临床深入研究、借鉴。

Objective To discuss the effect of nursing intervention on multidrug resistant bacterial infection in patients with lung cancer on chemotherapy. Methods Forty lung cancer patients treated at Fourth People’s Hospital of Shaanxi were selected from August 2017 to June 2021. They were randomly divided into an experimental group and a control group with 20 patients in each group using a random table method. The experimental group received intensive nursing and the control group received traditional nursing. Patient satisfaction with nursing, multidrug resistant bacterial infection prevention and control knowledge and behavior scores, and Hamilton depression scale(HAMD) and Hamilton anxiety scale(HAMA) scores were investigated in the two groups. Results Patient satisfaction was 95.0% in the experimental group which was higher than 70.0% of the control group(P<0.05). Before nursing, there was no significant difference in HAMA and HAMD scores between the two groups(P>0.05). After nursing, HAMA and HAMD scores were low and multidrug resistant bacterial infection prevention and control knowledge, information and behavior scores were high in the experimental group compared with the control group(all P<0.05). Conclusion Intensive nursing intervention can significantly improve the scores of knowledges, belief and behaviors for the prevention and control of multidrug resistant bacterial infections, relieve anxiety and depression, and improve nursing satisfaction in patients with lung cancer. It is worthy of in-depth clinical research and reference.