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目的探讨ICU重症颅脑外伤患者医院感染的循证护理效果。方法选取2015年1月—2017年6月笔者所在医院ICU收治的重症颅脑外伤患者300例作为观察组;选择2013年1月—2014年12月笔者所在医院ICU收治的重症颅脑外伤患者200例作为对照组。对照组患者采取是常规的重症颅脑损伤的护理方法,包括用药护理、生活护理等内容,观察组患者采用的是循证护理方式,统计两组患者出现呼吸道感染、消化道感染、泌尿道感染及褥疮的情况。结果观察组患者发生呼吸道感染、消化道感染、泌尿道感染、褥疮的发生率分别为13(4.33%)、26(8.67%)、29(9.67%)、5(1.67%),对照组患者发生呼吸道感染、消化道感染、泌尿道感染、褥疮的发生率分别为45(22.5%)、68(34%)、56(28%)、18(9%),观察组患者出现不良反应的发生率显著低于对照组患者。结论 ICU重症颅脑外伤患者的循证护理方式是安全可行的,能够降低医院感染的几率。
Objective To investigate the evidence-based nursing effect of nosocomial infection in ICU patients with severe traumatic brain injury. Methods From January 2015 to June 2017, 300 patients with severe craniocerebral trauma admitted to the ICU of the hospital where the author was located were selected as the observation group. From January 2013 to December 2014, 200 patients with severe craniocerebral trauma admitted to the ICU of the author’s hospital Cases as a control group. Patients in the control group were treated by routine nursing care of severe craniocerebral injury, including medication and life care. Evidence-based nursing was used in the observation group. Respiratory, gastrointestinal, urinary tract infections And bedsores situation. Results The incidences of respiratory tract infections, gastrointestinal infections, urinary tract infections and bed sores in the observation group were 13 (4.33%), 26 (8.67%), 29 (9.67%) and 5 (1.67% The incidences of respiratory tract infections, gastrointestinal infections, urinary tract infections and bed sores were 45 (22.5%), 68 (34%), 56 (28%) and 18 (9%) respectively. The incidence of adverse reactions in the observation group Significantly lower than the control group patients. Conclusion The evidence-based nursing method in ICU patients with severe traumatic brain injury is safe and feasible, which can reduce the chance of nosocomial infection.