中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2012年
7期
19-21
,共3页
卜永霞%刘月荣%苏立霞%孙玉真
蔔永霞%劉月榮%囌立霞%孫玉真
복영하%류월영%소립하%손옥진
神经外科%危重症患者%下呼吸道感染%高危因素%护理对策
神經外科%危重癥患者%下呼吸道感染%高危因素%護理對策
신경외과%위중증환자%하호흡도감염%고위인소%호리대책
Department of neurosurgery%Critically ill patients%Lower respiratory tract infection%High risk factors%Nursing strategy
目的 探讨研究神经外科危重症患者并发下呼吸道感染的高危因素及护理对策.方法 选取2007年1月至2011年9月进行治疗的672例神经外科危重症患者为研究对象,针对其下呼吸道感染发生率及发生的高危因素进行研究分析,并对其采用针对性的护理方法进行护理.结果 672例患者中发生下呼吸道感染54例,发生率为8.04％.中老年患者、营养较差者、合并基础疾病者感染发生率高于其他患者；接受侵袭性操作者、吸痰者、应用呼吸机者、手术及吸氧时间较长者下呼吸道感染的发生率高于其他患者；住院时间较长者、急诊手术者、应用多种抗生素者及术前合并其他感染者下呼吸道感染的发生率高于其他患者,差异均有统计学意义.54例发生下呼吸道感染的神经外科危重症患者经针对性的治疗护理,感染得到有效控制(4例死于原发疾病).结论 神经外科危重症患者并发下呼吸道感染的高危因素包括个人身体条件、治疗性操作及其他多种因素,配合针对性的治疗护理可得到有效控制.
目的 探討研究神經外科危重癥患者併髮下呼吸道感染的高危因素及護理對策.方法 選取2007年1月至2011年9月進行治療的672例神經外科危重癥患者為研究對象,針對其下呼吸道感染髮生率及髮生的高危因素進行研究分析,併對其採用針對性的護理方法進行護理.結果 672例患者中髮生下呼吸道感染54例,髮生率為8.04％.中老年患者、營養較差者、閤併基礎疾病者感染髮生率高于其他患者；接受侵襲性操作者、吸痰者、應用呼吸機者、手術及吸氧時間較長者下呼吸道感染的髮生率高于其他患者；住院時間較長者、急診手術者、應用多種抗生素者及術前閤併其他感染者下呼吸道感染的髮生率高于其他患者,差異均有統計學意義.54例髮生下呼吸道感染的神經外科危重癥患者經針對性的治療護理,感染得到有效控製(4例死于原髮疾病).結論 神經外科危重癥患者併髮下呼吸道感染的高危因素包括箇人身體條件、治療性操作及其他多種因素,配閤針對性的治療護理可得到有效控製.
목적 탐토연구신경외과위중증환자병발하호흡도감염적고위인소급호리대책.방법 선취2007년1월지2011년9월진행치료적672례신경외과위중증환자위연구대상,침대기하호흡도감염발생솔급발생적고위인소진행연구분석,병대기채용침대성적호리방법진행호리.결과 672례환자중발생하호흡도감염54례,발생솔위8.04％.중노년환자、영양교차자、합병기출질병자감염발생솔고우기타환자；접수침습성조작자、흡담자、응용호흡궤자、수술급흡양시간교장자하호흡도감염적발생솔고우기타환자；주원시간교장자、급진수술자、응용다충항생소자급술전합병기타감염자하호흡도감염적발생솔고우기타환자,차이균유통계학의의.54례발생하호흡도감염적신경외과위중증환자경침대성적치료호리,감염득도유효공제(4례사우원발질병).결론 신경외과위중증환자병발하호흡도감염적고위인소포괄개인신체조건、치료성조작급기타다충인소,배합침대성적치료호리가득도유효공제.
Objective To study the nursing strategy and high risk factors of critically ill patients complicated with lower respiratory tract infection in department of neurosurgery. Methods 672 critically ill patients in department of neurosurgery in our hospital from January 2007 to September 2011 were selected as research object,and the rate of lower respiratory tract infection and high risk factors were studied and analyzed,and they were taken care of with special nursing. Results 54 cases of 672 patients were with lower respiratory tract infection,the rate was 8.04％.Infection rate of elderly patients,patients of poor nutrition state,patients with underlying diseases was higher than those of other patients.Infection rate of patients with invasive operation,sputum suction,application of respirator,longer operative time and oxygen inhalation time was higher than those of other patients.Infection rate of patients with longer hospitalization time,emergency operation,application of many antibiotics and complication of preoperative infection of other site was higher than those of other patients,there were significant differences.The infection was well controlled with special nursing and treatment,four patients died of primary diseases. Conclusions The high risk factors of critically ill patients complicated with lower respiratory tract infection in department of neurosurgery include personal factors,treatment operation factors and other factors,and it can be controlled by special nursing and treatment.
