护理干预在预防重症监护室脑出血患者肺部感染中的效果

The effect of nursing intervention in the preventing pulmonary infection in intensive care unit patients with cerebral hemorrhage

目的探讨护理干预在预防重症监护室(ICU)脑出血患者肺部感染中的效果。方法选取2017年1月至2020年12月本院ICU病房收治的80例脑出血患者作为研究对象,随机分为两组,每组40例。观察组采用预防护理干预,对照组采用常规护理干预,比较两组临床指标(氧合指数、肺通气量)、肺部感染发生率及不良事件发生率。结果护理前,两组氧合指数、肺通气量比较差异无统计学意义;护理后,观察组氧合指数为(158.75±20.32)mmHg,肺通气量为(6.20±1.23)L/min,均低于对照组的(169.11±20.83)mmHg、(8.87±2.07)L/min,差异有统计学意义(P<0.05);观察组护理干预后肺部感染发生率为2.50%,低于对照组的17.50%(P<0.05)。观察组不良事件发生率为7.50%,低于对照组的27.50%(P<0.05)。结论护理干预在预防ICU脑出血患者肺部感染中的效果显著,可有效降低患者肺部感染率,减少不良事件的发生。

Objective To explore the effect of nursing intervention in the preventing pulmonary infection in intensive care unit(ICU)patients with cerebral hemorrhage.Methods A total of 80 patients with cerebral hemorrhage who were admitted to the ICU ward of our hospital from Jan 2017 to December 2020 were selected as the research subjects,and they were randomly divided into two groups,with 40 cases in each group.The observation group adopted preventive nursing intervention,the control group by routine nursing intervention,the clinical indicators(oxygenation index,pulmonary ventilation),incidence of pulmonary infection and the incidence of adverse events were compared between two groups.Results Before nursing,there was no significant difference in oxygenation index and pulmonary ventilation between the two groups;after nursing,oxygenation index of observation group was(158.75±20.32)mmHg,lung ventilation volume was(6.20±1.23)L/min,lower than(169.11±20.83)mmHg,(8.87±2.07)L/min of control group,the difference was statistically significant(P<0.05).The incidence of pulmonary infection in the observation group was 2.50%,which was lower than 17.50% in the control group(P<0.05).The incidence of adverse events in observation group was 7.50%,which was lower than 27.50% in control group(P<0.05).Conclusion Nursing intervention has significant effect in the preventing pulmonary infection in ICU patients with cerebral hemorrhage,which can effectively reduce the rate of pulmonary infection and the occurrence of adverse events.