CAJ | 학술논문

目的探讨重型肝炎和肝硬化患者医院感染的预见性护理效果.方法对我科收治的重型肝炎、肝硬化患者随机分为两组,对照组重型肝炎30例、肝硬化33例给予常规护理;观察组重型肝炎32例、肝硬化34例在常规护理的基础上采取预见性护理.观察两组医院感染发牛率及控制率.结果对照组和观察组重型肝炎医院感染率分别为46.67%和21.88%(P<0.05),医院感染后控制率为分别为35.71%和85.71%(P<0.05);肝硬化医院感染率为39.39%和17.65%(P<0.05);医院感染后控制率为28.57%和83.33%(P<0.05);观察组未发生医院感染和发生医院感染患者的平均住院天数分别为(31.4±15.6)d和(47.2±16.7)d,对照组未发生医院感染和发牛医院感染患者的平均住院天数分别为(39.4±28.9)d和(64.3±28.4)d.结论预见性护理对重型肝炎和肝硬化患者医院感染的发生有一定的预防和控制作用,合并医院感染后控制较容易,缩短平均住院大数,提高重型肝炎患者抢救成功率.
목적 탐토중형간염화간경화환자의원감염적예견성호리효과.방법 대아과수치적중형간염、간경화환자수궤분위량조,대조조중형간염30례、간경화33례급여상규호리;관찰조중형간염32례、간경화34례재상규호리적기출상채취예견성호리.관찰량조의원감염발우솔급공제솔.결과 대조조화관찰조중형간염의원감염솔분별위46.67%화21.88%(P<0.05),의원감염후공제솔위분별위35.71%화85.71%(P<0.05);간경화의원감염솔위39.39%화17.65%(P<0.05);의원감염후공제솔위28.57%화83.33%(P<0.05);관찰조미발생의원감염화발생의원감염환자적평균주원천수분별위(31.4±15.6)d화(47.2±16.7)d,대조조미발생의원감염화발우의원감염환자적평균주원천수분별위(39.4±28.9)d화(64.3±28.4)d.결론 예견성호리대중형간염화간경화환자의원감염적발생유일정적예방화공제작용,합병의원감염후공제교용역,축단평균주원대수,제고중형간염환자창구성공솔.
Objective To explore the effectiveness of foreseeable nursing to hospital infection among patients with severe hepatitis and cirrhosis. Methods The patients with severe hepatitis and cirrhosis were divided into two groups: 63 cases in control group were received routine nursing, while 66 cases in experiment group were received foreseeable nursing. Hospital infection rate and control rate were observed. Results Hospital infection rate among patients with severe hepatitis in experiment and control group were 46.67% and 21.88% repectively, the control rate after infection were 35.71% and 85.71% separately. While hospital infection rate among cirrhosis patients were 39.39% and 17.65%, and the control rate after infection were 28.57% and 83.33 % (P<0. 05). Those who in observation group did not happen hospital infection and happened hospital infection hospitalized for an average number of (31. 4 ± 15.6) and (47.2 ±16.7 ) d, while those in control group were (39.4 ±28.9) d and (28.4±64.3) d respectively. Conclusions Foreseeable nursing among hepatitis and cirrhosis is helpful to prevent and control hospital infection shorten the average hospitalized days and improve falminant hepatitis patients' rescue success.