中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
19期
427-427,428
,共2页
循证护理%脑卒中%肺部感染%预防疗效
循證護理%腦卒中%肺部感染%預防療效
순증호리%뇌졸중%폐부감염%예방료효
Evidence-based nursing%Stroke%Lung infection%Prevention of efficacy
目的探讨循证护理在预防脑卒中患者住院期间肺部感染的可行性和临床疗效。方法回顾性分析我院收治的脑卒中患者206例，随机分为103例实验组和103例对照组，对照组患者予以常规院内基础护理，实验组患者予以循证护理干预，包括心理护理、肺部护理及营养支持等措施。对比两组患者经护理后的感染发生率及护理效果。结果实验组患者感染率为11.65%，经过规范对症治疗后11例患者痊愈，仅1例患者因脑卒中症状严重，卧床时间较长，感染部位较多，导致治疗效果不显著，感染治愈率为91.66%。对照组患者感染率为22.33%，显著高于实验组感染率，对照组感染患者治愈率为13.04%，显著低于实验组。实验组、对照组患者护理总有效率分别为99.03%、88.35%，差异见χ2=13.26，P＜0.05。结论循证护理工作可提高患者身体质量和治疗效果，显著降低脑卒中患者院内肺部感染发生率，缩短患者住院时间，改善患者预后生活质量。
目的探討循證護理在預防腦卒中患者住院期間肺部感染的可行性和臨床療效。方法迴顧性分析我院收治的腦卒中患者206例，隨機分為103例實驗組和103例對照組，對照組患者予以常規院內基礎護理，實驗組患者予以循證護理榦預，包括心理護理、肺部護理及營養支持等措施。對比兩組患者經護理後的感染髮生率及護理效果。結果實驗組患者感染率為11.65%，經過規範對癥治療後11例患者痊愈，僅1例患者因腦卒中癥狀嚴重，臥床時間較長，感染部位較多，導緻治療效果不顯著，感染治愈率為91.66%。對照組患者感染率為22.33%，顯著高于實驗組感染率，對照組感染患者治愈率為13.04%，顯著低于實驗組。實驗組、對照組患者護理總有效率分彆為99.03%、88.35%，差異見χ2=13.26，P＜0.05。結論循證護理工作可提高患者身體質量和治療效果，顯著降低腦卒中患者院內肺部感染髮生率，縮短患者住院時間，改善患者預後生活質量。
목적탐토순증호리재예방뇌졸중환자주원기간폐부감염적가행성화림상료효。방법회고성분석아원수치적뇌졸중환자206례，수궤분위103례실험조화103례대조조，대조조환자여이상규원내기출호리，실험조환자여이순증호리간예，포괄심리호리、폐부호리급영양지지등조시。대비량조환자경호리후적감염발생솔급호리효과。결과실험조환자감염솔위11.65%，경과규범대증치료후11례환자전유，부1례환자인뇌졸중증상엄중，와상시간교장，감염부위교다，도치치료효과불현저，감염치유솔위91.66%。대조조환자감염솔위22.33%，현저고우실험조감염솔，대조조감염환자치유솔위13.04%，현저저우실험조。실험조、대조조환자호리총유효솔분별위99.03%、88.35%，차이견χ2=13.26，P＜0.05。결론순증호리공작가제고환자신체질량화치료효과，현저강저뇌졸중환자원내폐부감염발생솔，축단환자주원시간，개선환자예후생활질량。
Objective To study the feasibility and clinical effect of evidence-based nursing used to prevent the patients with stroke infecting lung.Methods 206 cases of patients with stroke were analysed retrospectively.They were divided into experimental group (103 cases) and control group (103 cases).Patients of control group received conventional nursing,while experimental group received evidence-based nursing.The incidence of infection and nursing effect of two groups were compared.Results The incidence of infection of experimental group was 11.65%,and infection cured rate was 91.66%. The Incidence of infection of control group was 22.33%,and infection cured rate was 13.04%. Was significantly lower than the experimental group. Experimental group and control group, respectively, the total efficiency of patient care was 99.03%, 88.35%, difference seeχ2=13.26, P<0.05. Conclusions Evidence-based nursing can improve the quality of patients and cure effect, obviously reduce the infection rate of lung, shortening hospital stays and improving the Prognosis of quality of life.
