CAJ | 학술논문

目的：探讨集束化护理对气管切开患者切口感染的预防效果，为提高临床护理质量提供参考。方法选取2013年1月－2014年11月医院实施气管切开的患者240例，按入院顺序分为对照组和研究组，每组各120例，对照组实施常规护理，研究组实施集束化护理，比较两组患者在气管切开期间的并发症发生率、切口感染率、置管时间、住院时间；采用SPSS15．0软件进行统计分析。结果研究组患者发生感染6例感染率5．0％，对照组发生感染19例感染率15．8％，研究组患者在气管切开期间并发症的总发生率为14．2％，对照组为30．0％，两组患者并发症发生率比较，差异有统计学意义（P＜0．05），研究组中患者术后置管时间以及住院时间明显低于对照组，差异有统计学意义（ P＜0．05）；研究组患者对护理的总体满意度为92．5％，对照组为70．0％，两组比较差异有统计学意义（P＜0．05）。结论集束化护理有利于降低气管切开患者并发症的发生率及术后感染率，减少置管时间及住院时间，提高患者对护理的满意度，值得在临床推广应用。
목적：탐토집속화호리대기관절개환자절구감염적예방효과，위제고림상호리질량제공삼고。방법선취2013년1월－2014년11월의원실시기관절개적환자240례，안입원순서분위대조조화연구조，매조각120례，대조조실시상규호리，연구조실시집속화호리，비교량조환자재기관절개기간적병발증발생솔、절구감염솔、치관시간、주원시간；채용SPSS15．0연건진행통계분석。결과연구조환자발생감염6례감염솔5．0％，대조조발생감염19례감염솔15．8％，연구조환자재기관절개기간병발증적총발생솔위14．2％，대조조위30．0％，량조환자병발증발생솔비교，차이유통계학의의（P＜0．05），연구조중환자술후치관시간이급주원시간명현저우대조조，차이유통계학의의（ P＜0．05）；연구조환자대호리적총체만의도위92．5％，대조조위70．0％，량조비교차이유통계학의의（P＜0．05）。결론집속화호리유리우강저기관절개환자병발증적발생솔급술후감염솔，감소치관시간급주원시간，제고환자대호리적만의도，치득재림상추엄응용。
OBJECTIVE To explore the effect of cluster nursing on prevention of postoperative incision infections in the patients undergoing tracheotomy so as to improve the quality of clinical nursing .METHODS A total of 240 pa‐tients who underwent the tracheotomy in Jan 2013 and Nov 2014 were enrolled in the study and divided into the control group and the study group according to the order to admission ,with 120 cases in each .The control group was treated with conventional nursing ,while the study group was given the cluster nursing .The incidence of com‐plications ,incidence of incision infections ,catheter indwelling time ,and length of hospital stay were observed and compared between the two groups during the tracheotomy ;the statistical analysis was performed with the use of SPSS15 .0 software .RESULTS The infections occurred in 6 cases in the study group with the infection rate of 5 .0% and in 19 cases in the control group with the infection rate of 15 .8% ;the total incidence of complications was 14 .2% in the study group during the tracheotomy ,30 .0% in the control group ,and there was significant difference in the incidence of complications between the two groups (P<0 .05) .Both the postoperative catheter in‐dwelling time and length of hospital were significantly shorter in the study group than in the control group(P<0 .05) .The overall satisfaction with the nursing was 92 .5% in the study group ,70 .0% in the control group ,and there was significant difference between the two groups (P<0 .05) .CONCLUSION The cluster nursing may con‐tribute to the reduction of incidence of complications and incidence of postoperative infections in the tracheotomy patients ,shorten the catheter indwelling time and length of hospital stay ,and raise the patients′satisfaction with the nursing ,and it is worthy to be promoted in the hospital .