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目的:探讨预防性护理管理在老年呼吸内科医院感染的控制效果。方法:选取在老年呼吸内科进行治疗的300例患者作为观察对象,分为两组,观察组150人采用预防性护理管理,对照组150人采用常规护理管理。预防性护理管理措施包括:严格监控、完善探视制度、合理使用抗生素、加强心理护理、开展健康教育。比较两组患者的医院感染发生率和护理情况满意度。结果:两组患者在抗生素使用、气管切开、气管插管、机械通气、留置导尿管方面差异具有统计学意义(P<0.05),观察组优于对照组;在住院时间及激素使用方面差异不具有统计学意义(P>0.05),两组患者护理前后护理情况满意度以及医院感染发生率差异均具有统计学意义(P<0.05),观察组优于对照组。结论:在老年呼吸内科实施预防性护理管理能够使老年患者住院感染情况得到有效控制,能够推动治疗、护理过程的顺利进行,促进老年患者的康复进程,能够为医院带来良好的社会效益。
Objective: To investigate the effectiveness of preventive nursing management in the management of geriatric respiratory hospital infection. Methods: A total of 300 patients treated in the Department of Geriatric Respiratory Medicine were enrolled in this study. They were divided into two groups: 150 in the observation group, and 150 in the control group. Preventive care management measures include: strict monitoring and control, improve the access system, rational use of antibiotics, strengthen psychological care, and carry out health education. The incidence of nosocomial infections and the satisfaction of nursing were compared between the two groups. Results: There were significant differences between the two groups in the use of antibiotics, tracheotomy, endotracheal intubation, mechanical ventilation and indwelling catheter (P <0.05), and the observation group was better than the control group. In terms of hospitalization time and hormone use The difference was not statistically significant (P> 0.05). The satisfaction of nursing care and the incidence of nosocomial infection in both groups were statistically significant (P <0.05). The observation group was superior to the control group. Conclusion: The implementation of preventive nursing management in aged respiratory medicine can effectively control the inpatient infection of elderly patients, promote the smooth progress of treatment and nursing, and promote the rehabilitation process of elderly patients, which can bring good social benefits to the hospital.