CAJ | 학술논문

目的：探讨重点护理干预措施对ICU气管切开患者肺部感染及死亡率的影响。方法选择我院2013年1月至2014年1月收治的90例ICU气管切开术患者作为研究对象，按随机数字表法分为观察组和对照组各45例，观察组患者采用重点护理干预，对照组患者采用常规护理，比较两组护理效果。结果护理后，观察组患者并发症的发生率明显低于对照组，组间比较差异有统计学意义（ P＜0．05），而且观察组患者的肺部感染症状消失时间和转出ICU的时间均明显短于对照组，组间比较差异有统计学意义（ P＜0．05）。结论采用重点护理干预对ICU气管切开患者具有十分重要的作用，能够减少患者并发症的发生，降低肺部感染率和患者死亡率，促进患者的恢复，有利于患者的预后转归，值得临床应用。
목적：탐토중점호리간예조시대ICU기관절개환자폐부감염급사망솔적영향。방법선택아원2013년1월지2014년1월수치적90례ICU기관절개술환자작위연구대상，안수궤수자표법분위관찰조화대조조각45례，관찰조환자채용중점호리간예，대조조환자채용상규호리，비교량조호리효과。결과호리후，관찰조환자병발증적발생솔명현저우대조조，조간비교차이유통계학의의（ P＜0．05），이차관찰조환자적폐부감염증상소실시간화전출ICU적시간균명현단우대조조，조간비교차이유통계학의의（ P＜0．05）。결론채용중점호리간예대ICU기관절개환자구유십분중요적작용，능구감소환자병발증적발생，강저폐부감염솔화환자사망솔，촉진환자적회복，유리우환자적예후전귀，치득림상응용。
Objective To investigate the impact of key nursing intervention on lung infection and mortality in patients with ICU tracheotomy.Methods A total of 90 cases of ICU tracheostomy patients were included in the study in which 45 cases of the observation group were treated with intensive care intervention and 45 cases in the control group with conventional care .Nursing results were com-pared.Results After treatment, the incidence of complications in patients in the observation group was significantly lower than that in the control group , a statistically significant difference between the groups , but the symptoms observed in patients with pulmonary infection disap-pearance of time and out of ICU time were significantly shorter than those of the control group .Conclusions The key of nursing intervention on ICU patients with tracheotomy has a very important role , it can effectively reduce the incidence of complications in patients , reduce lung infection and mortality , promote the recovery of the patient , the patientˊs prognosis is conducive to turn return , it is worthy of clinical appli-cation.