CAJ | 학술논문

目的了解昏迷病人吸入性肺炎发生的影响因素,为制定临床护理干预方案提供科学依据.方法以2011年2月至2013年1月间诊治的256例昏迷患者为研究对象,按照是否合并吸入性肺炎患者分为肺炎组和对照组,采用问卷调查法和非条件Logistic回归分析筛选鉴别影响昏迷病人吸入性肺炎发生的高危因素.结果单因素和多因素回归分析结果均显示:年龄、脑卒中、高血压病、胃-食管反流、鼻饲饮食、平卧体位、意识障碍、吞咽功能障碍、气管通道的建立方式和住院总时程10个因素是影响昏迷病人吸入性肺炎发病的危险因素.结论年龄、胃-食管反流、进食和生活方式、气道通道构建方式、住院总时长及合并基础疾病是诱发昏迷病人吸入性肺炎的高危因素,针对昏迷病人吸入性肺炎制定临床护理干预策略将有助于降低其发生率.
목적 료해혼미병인흡입성폐염발생적영향인소,위제정림상호리간예방안제공과학의거.방법 이2011년2월지2013년1월간진치적256례혼미환자위연구대상,안조시부합병흡입성폐염환자분위폐염조화대조조,채용문권조사법화비조건Logistic회귀분석사선감별영향혼미병인흡입성폐염발생적고위인소.결과 단인소화다인소회귀분석결과균현시:년령、뇌졸중、고혈압병、위-식관반류、비사음식、평와체위、의식장애、탄인공능장애、기관통도적건립방식화주원총시정10개인소시영향혼미병인흡입성폐염발병적위험인소.결론 년령、위-식관반류、진식화생활방식、기도통도구건방식、주원총시장급합병기출질병시유발혼미병인흡입성폐염적고위인소,침대혼미병인흡입성폐염제정림상호리간예책략장유조우강저기발생솔.
Objective To understand the risk factors of coma patients' aspiration pneumonia,and provide a scientific basis for the development of clinical nursing intervention programs.Methods 256 cases of coma patients were recruited from the First People's Hospital of Huizhou City from February 2011 to January 2013 in this study.Patients were divided into two groups according to whether they were combined with aspiration pneumonia.Questionnaires and non-conditional Logistic regression analysis were used to identify affected comatose aspiration pneumonia risk factors.Results Univariate and multivariate regression analysis showed age,stroke,hypertension,stomach-esophageal reflux,nasal feeding,supine position,unconsciousness,swallowing dysfunction,airway channel created,the total duration and hospitalization were all the factors affecting the incidence of aspiration pneumonia comatose.Conclusion Age,stomach-esophageal reflux,eating and lifestyle,airway passage built,total duration of hospitalization and underlying diseases were induced risk factors for aspiration pneumonia of coma patients,and clinical nursing intervention strategies will help to reduce the incidence of aspiration pneumonia.