摘要
目的探讨ICU气管切开肺部感染患者采用护理干预的效果。方法方便选择2018年2月—2020年4月该院ICU收治的72例气管切开肺部感染患者为研究对象,采用随机化原则分成对照组与研究组,每组36例。对照组予常规护理干预,研究组予综合护理干预。比较两组肺部感染改善率、并发症发生率和临床指标。结果研究组肺部感染改善率94.44%高于对照组77.78%,差异有统计学意义(χ^(2)=4.181,P<0.05);对照组并发症总发生率27.78%高于研究组8.33%,差异有统计学意义(χ^(2)=4.600,P<0.05);研究组ICU停留时间(7.11±2.29)d、症状消失时间(6.28±2.29)d、GCS评分(13.76±1.77)分、CPIS评分(5.78±1.37)分与对照组(10.03±3.84)d、(8.70±3.70)d、(9.95±1.25)分、(9.19±2.00)分比较,差异有统计学意义(t=3.919、3.337、10.550、8.440,P<0.05)。结论综合护理干预运用在ICU气管切开患者肺部感染中效果确切,值得推广。
Objective To explore the effect of nursing intervention for patients with pulmonary infection after tracheotomy in ICU.Methods 72 patients with tracheotomy lung infection admitted to the ICU of the hospital from February 2018 to April 2020 were convenient selected as the research objects,and were divided into the control group and the study group according to the principle of randomization,with 36 cases in each group.The control group received conventional nursing intervention,and the study group received comprehensive nursing intervention.The improvement rate of lung infection,the incidence of complications and clinical indicators were compared between the two groups.Results The improvement rate of lung infection in the study group was 94.44%higher than that of the control group 77.78%,the difference was statistically significant(χ^(2)=4.181,P<0.05);the total incidence of complications in the control group was 27.78%higher than the study group 8.33%,the difference was statistically significant(χ^(2)=4.600,P<0.05);ICU stay time(7.11±2.29)d,symptom disappearance time(6.28±2.29)d,GCS score(13.76±1.77)points,CPIS score(5.78±1.37)points,compared with the control group(10.03±3.84)d,(8.70±3.70)d,(9.95±1.25)points,(9.19±2.00)points,the difference was statistically significant(t=3.919,3.337,10.550,8.440,P<0.05).Conclusion The use of comprehensive nursing intervention in ICU tracheotomy patients with lung infection is effective,and it is worthy of promotion.
作者
赵连跃
ZHAO Lianyue(Department of Critical Care Medicine,Baotou Steel Hospital,Baotou,Inner Mongolia Autonomous Region,014010 China)
出处
《中外医疗》
2021年第16期170-172,176,共4页
China & Foreign Medical Treatment
关键词
肺部感染
ICU
护理干预
气管切开
应用效果
Pulmonary infection
ICU
Nursing intervention
Tracheotomy
Application effect
