CAJ | 학술논문

目的探讨胸外科手术后医院获得性肺炎的预防控制措施.方法采用前瞻性监测方法,通过集束干预包括加强培训、呼吸机管路的严格消毒、床头抬高30°、洗必泰口腔护理、每天评估是否撤机、加强手卫生等综合措施,监测胸外科手术后医院获得性肺炎发病率.结果通过集束干预措施,手卫生依从率明显提高,床头抬高30°、洗必泰口腔护理每2～6小时1次、每天评估是否撤机干预措施执行情况优于干预前,胸外科手术后医院获得性肺炎发病率由监测前的25.87％下降至9.02％,差异有统计学意义(x2 =44.956,P＜0.05).结论开展前瞻性监测,实施集束干预措施,对控制胸外科手术后医院获得性肺炎有积极意义,降低了手术后医院获得性肺炎的发病率.
목적 탐토흉외과수술후의원획득성폐염적예방공제조시.방법 채용전첨성감측방법,통과집속간예포괄가강배훈、호흡궤관로적엄격소독、상두태고30°、세필태구강호리、매천평고시부철궤、가강수위생등종합조시,감측흉외과수술후의원획득성폐염발병솔.결과 통과집속간예조시,수위생의종솔명현제고,상두태고30°、세필태구강호리매2～6소시1차、매천평고시부철궤간예조시집행정황우우간예전,흉외과수술후의원획득성폐염발병솔유감측전적25.87％하강지9.02％,차이유통계학의의(x2 =44.956,P＜0.05).결론 개전전첨성감측,실시집속간예조시,대공제흉외과수술후의원획득성폐염유적겁의의,강저료수술후의원획득성폐염적발병솔.
Objective To study the prevention and control measures for hospital acquired pneumonia in thoracic surgical patients.Methods Using the prospective monitoring,morbidity rate of hospital acquired pneumonia in thoracic surgical patients was monitored.The cluster intervention measures were taken,such as education training,strictly disinfecting the respirator duct,raising up the patients'bedside 30°,conducting oral cavity nursing with hlorhexidine,making assessment everyday to determine the withdrawal of the respirator,and strict hand hygiene.Results By cluster intervention measures,the implementation of hand hygienc of the medical staff was significantly improved; intervention measures including raising up the patients' bedside 30°,conducting oral cavity nursing with hlorhexidine,making assessment everyday to determine the withdrawal of the respirator were enforced well.The morbidity rate of hospital acquired pneumonia in thoracic surgical patients fell from 25.87％ to 9.02％ (P ＜0.05).Conclusions It is a positive significance for the prevention and control of the hospital acquired pneumonia in thoracic surgical patients through cluster intervention measures.