CAJ | 학술논문

目的：探讨老年患者肺部感染合并心力衰竭实施早期护理的临床效果，为临床治疗提供参考。方法选取2011年3月－2014年1月呼吸科老年患者610例为研究对象，将2011年3月－2012年6月收治的320例患者设为对照组，给予常规诊疗护理；将2012年12月－2014年1月290例患者设为观察组，给予实施早期护理干预，并对潜在感染患者实施病原菌检测；对比两组患者肺部感染合并心力衰竭的发生率及患者护理满意度。结果对照组护理后肺部感染率、肺部感染合并心力衰竭发生率分别为20．31％和9．06％，观察组分别为6．66％和2．41％，两组比较差异均有统计学意义（ P＜0．05）；针对观察组感染患者实施病原菌检测，共培养出病原菌95株，前3位病原菌依次为肺炎克雷伯菌、金黄色葡萄球菌、铜绿假单胞菌，分别占36．84％、31．58％、21．05％；对照组护理满意度69．69％，观察组护理满意度96．21％，两组比较差异有统计学意义（ P＜0．05）。结论早期护理干预对老年患者降低肺部感染合并心力衰竭效果明显，可有效改善医患关系，提升患者生活质量。
목적：탐토노년환자폐부감염합병심력쇠갈실시조기호리적림상효과，위림상치료제공삼고。방법선취2011년3월－2014년1월호흡과노년환자610례위연구대상，장2011년3월－2012년6월수치적320례환자설위대조조，급여상규진료호리；장2012년12월－2014년1월290례환자설위관찰조，급여실시조기호리간예，병대잠재감염환자실시병원균검측；대비량조환자폐부감염합병심력쇠갈적발생솔급환자호리만의도。결과대조조호리후폐부감염솔、폐부감염합병심력쇠갈발생솔분별위20．31％화9．06％，관찰조분별위6．66％화2．41％，량조비교차이균유통계학의의（ P＜0．05）；침대관찰조감염환자실시병원균검측，공배양출병원균95주，전3위병원균의차위폐염극뢰백균、금황색포도구균、동록가단포균，분별점36．84％、31．58％、21．05％；대조조호리만의도69．69％，관찰조호리만의도96．21％，량조비교차이유통계학의의（ P＜0．05）。결론조기호리간예대노년환자강저폐부감염합병심력쇠갈효과명현，가유효개선의환관계，제승환자생활질량。
OBJECTIVE To observe the clinical effect of the early nursing interventions to the elderly patients with pulmonary infections complicated with heart failure so as to provide guidance for clinical treatment .METHODS A total of 610 elderly patients who were treated in the respiratory department from Mar 2011 to Jan 2014 were re‐cruited as the study objects ;320 patients who were treated from Mar 2011 to Jun 2012 were assigned as the con‐trol group and were given the conventional treatment and nursing ,and 290 patients who were treated from Dec 2012 to Jan 2014 were set as the observation group and received the early nursing interventions .The pathogens were detected for the patients at high risk of infections ,and the incidence of pulmonary infections complicated with heart failure and the patients′satisfaction with the nursing were observed and compared between the two groups . RESULTS After the nursing intervention were taken ,the incidence of pulmonary infections was 20 .31% in the control group ,6 .66% in the observation group;the incidence of pulmonary infections complicated with heart fail‐ure was 9 .06% in the control group ,2 .41% in the observation group ,there was significant difference between the two groups (P<0 .05) .Totally 95 strains of pathogens have been isolated from the patients with infections in the observation group ,among which the K lebsiella pneumoniae ,Staphylococcus aureus ,and Pseudomonas aerugino‐sa ranked the top three species ,accounting for 36 .84% ,31 .58% ,and 21 .05% ,respectively .The patients′satis‐faction with the nursing was 69 .69% in the control group ,96 .21% in the observation group ,there was significant difference between the two groups (P<0 .05) .CONCLUSION The early nursing interventions can contribute to the significant reduction of incidence of pulmonary infections complicated with heart failure in the elderly patients ,ef‐fectively improve the doctor‐patient relationship ,and raise the quality of life of the patients .