针对性护理干预预防ICU脑出血患者肺部感染的效果观察

　　[摘要] 目的 探討护理干预对ICU脑出血患者预防肺部感染的应用效果。 方法 选择2016年1月～2017年5月在我院ICU住院治疗的脑出血患者160例为研究对象，所有患者在入住ICU时无肺部感染。按照入院单双号分为观察组与对照组各80例。对照组给予常规护理，观察组给予针对性护理。比较两组肺部感染发生率，低氧血症、误吸发生率，统计平均住ICU时间、死亡率；统计两组患者并发症发生率，比较两组护理满意度。 结果 观察组肺部感染发生率显著低于对照组，低氧血症、误吸发生率也显著低于对照组，差异有统计学意义（P<0.05）；观察组平均入住ICU时间显著短于对照组，差异有统计学意义（P<0.05）。观察组伤口感染、导管阻塞、脱管等并发症发生率低于对照组，差异有统计学意义（P<0.05）。观察组护理满意情况显著优于对照组，差异有统计学意义（P<0.05）。 结论 针对性护理干预能够有效预防ICU脑出血患者肺部感染，减少其他并发症的发生率，缩短患者住院时间，提高护理满意度。
　　[关键词] 针对性护理干预；ICU；脑出血；肺部感染；预防
　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2018）08-0147-03
　　Effectiveness of targeted nursing intervention on preventing patients with cerebral hemorrhage in ICU from pulmonary infection
　　MENG Qi
　　Fushun Central Hospital in Liaoning Province，Fushun 113006，China
　　[Abstract] Objective To investigate the effectiveness of targeted nursing intervention on preventing patients with cerebral hemorrhage in ICU from pulmonary infection. Methods 160 inpatients with cerebral hemorrhage in ICU of our hospital from January 2016 to May 2017 were selected. All patients were without lung infection when admitted to ICU. They were divided into observation group and control group according to the odd-even number of admission， with 80 cases in each group. Patients in control group received routine nursing care. Patients in observation group received targeted nursing care. The incidence of lung function， hypoxemia and aspiration was compared between two groups. The average time of ICU， death rate and the incidence of complications were statistically analyzed. The satisfaction rates of nursing care were compared between two groups. Results The incidence of lung infection， hypoxemia and aspiration in observation group was significantly higher than that in control group（P<0.05）.The average time of ICU in observation group was statistically shorter than that in control group（P<0.05）. The incidence of complications（wound infection， catheter obstruction and falling off）in observation group was significantly less than that in control group（P<0.05）. The satisfaction rate of nursing care in observation group was higher than that in control group statistically（P<0.05）. Conclusion Targeted nursing intervention could prevent patients with cerebral hemorrhage in ICU from pulmonary infection effectively， reduce the incidence of complication and the time of hospitalization as well as improve the satisfaction rate of nursing care.
　　[Key words] Targeted Nursing Intervention； ICU； Cerebral Hemorrhage； Pulmonary Infection； Prevention

相关热词搜索：脑出血 肺部 干预 针对性 护理