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目的:探讨脑外科病房引发肺部感染的危险因素与相应防范管理对策。方法:选择2016年1~6月医院脑外科病房患者50例,设为观察组,分析引发肺部感染的因素,并制定相应防范管理对策。就肺部感染发生情况与2015年7~12月常规管理的对照组进行比较。结果:观察组无肺部感染事件发生;对照组发生肺部感染6例,感染率为12%(P<0.05)。观察组遵医依从率、护理满意度和基础知识掌握率均明显高于对照组(P<0.05)。结论:针对脑外科患者肺部感染因素,如吸烟史、各种侵入性操作、机体营养不良等制定针对性防范对策,加强环境管理,开展培训教育,严格执行无菌操作,行营养支持,可降低肺部感染发生率,提高患者的护理满意度,提高患者的遵医依从率和基础知识掌握率。
Objective: To explore the risk factors of pulmonary infection caused by brain surgery wards and corresponding management strategies. Methods: Fifty patients admitted to our hospital from January to June 2016 were enrolled in this study. The factors that caused the pulmonary infection were analyzed, and corresponding preventive and management strategies were formulated. The incidence of pulmonary infection was compared with the routinely administered control group from July to December 2015. Results: In the observation group, no pulmonary infection occurred. In the control group, 6 cases of pulmonary infection occurred, the infection rate was 12% (P <0.05). Obedience compliance rate, nursing satisfaction and basic knowledge of the observation group were significantly higher than the control group (P <0.05). Conclusion: According to the lung infection factors of brain surgery patients, such as smoking history, various invasive operations, malnutrition and other body to develop targeted preventive measures to strengthen environmental management, training and education, strict implementation of aseptic operation, nutrition support line, Reduce the incidence of pulmonary infection, improve patient satisfaction with care, and improve compliance rate and basic knowledge of patients compliance rate.