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目的:探讨预防性护理干预(PNI)对ICU脑出血(ICH)患者肺部感染的控制作用。方法:自2013年2月—2014年6月期间本院在ICU对56例ICH患者实施PNI护理模式控制肺部感染,作为干预组;选取此前1年接受常规护理的56例ICH患者作为对照组。统计两组患者肺部感染例数和时间、死亡例数及住院时间,并统计两组不良反应发生情况。结果:干预组患者肺部感染例数、感染时间、死亡例数和住院时间分别为37.5%(21/56)、(15.9±3.7)d、3.6%(2/56)和(17.2±5.2)d,对照组分别为62.5%(35/56)、(18.8±4.6)d、16.1%(9/56)和(22.6±5.8)d,两组相比,差异具有统计学意义(P<0.05);干预组不良反应率为7.1%(4/56),对照组为21.4%(12/56),两组相比,差异具有统计学意义(P<0.05)。结论:PNI护理模式能有效减少ICH患者的肺部感染风险以及感染时间,并缩短住院时间,有利于患者的安全,值得在临床上进一步推广。
Objective: To investigate the preventive effect of preventive nursing intervention (PNI) on pulmonary infection in ICU patients with ICU. METHODS: From February 2013 to June 2014, 56 patients with ICH were treated with ICI in our ICU to control pulmonary infection in our hospital as an intervention group. Fifty-six ICH patients who received routine care one year earlier were selected as control group . Statistics of the two groups of patients with pulmonary infection cases and time, the number of deaths and hospital stay, and statistics of two groups of adverse reactions. Results: The number of pulmonary infections, the time of infection, the number of death and hospital stay in intervention group were 37.5% (21/56), (15.9 ± 3.7) d, 3.6% (2/56) and (17.2 ± 5.2) d in the control group were 62.5% (35/56), (18.8 ± 4.6) days, 16.1% (9/56) and 22.6 ± 5.8 days respectively, there was significant difference between the two groups (P <0.05 ). Adverse reaction rate was 7.1% (4/56) in the intervention group and 21.4% (12/56) in the control group. There was significant difference between the two groups (P <0.05). Conclusion: PNI nursing model can effectively reduce the risk of lung infection and infection in patients with ICH and shorten the hospital stay, which is good for the safety of patients and worth further promotion in clinic.