重型颅脑损伤合并肺挫伤患者肺部感染的综合护理干预

Comprehensive nursing intervention of lung infection in patients with severe craniocerebral injury combined with pulmonary contusion

  • 摘要: 目的:探讨重型颅脑损伤合并肺挫伤患者肺部感染的预防护理方法及效果。方法将60例重型颅脑损伤合并肺挫伤患者随机分为观察组和对照组,每组30例,对照组采用常规护理,观察组采用综合护理干预,比较2组患者的肺部感染情况、病死率、生命体征和家属的护理满意度。结果观察组痰菌培养阳性率、肺部感染的发生率均显著少于对照组,感染出现的时间显著晚于对照组(P <0.05)。观察组的病死率低于对照组,但无统计学意义(P >0.05)。观察组的体温、脉搏、呼吸频率显著低于对照组,血氧饱和度显著高于对照组(P <0.05)。观察组家属的护理满意度显著高于对照组(P <0.05)。结论综合护理有利于减少重型颅脑损伤合并肺挫伤患者的肺部感染发生率,稳定患者的生命体征,改善预后。

     

    Abstract: Objective Ti explire the preventive nursing measures and effect if lung infec-tiin in patients with severe craniicerebral injury cimbined with pulminary cintusiin.Methods 60 patients with severe craniicerebral injury cimbined with pulminary cintusiin were divided inti the ibservatiin griup and the cintril griup with 30 patients in each griup.The cintril griup was received riutine nursing while the ibservatiin griup was adipted cimprehensive nursing interven-tiin.Lung infectiin,mirtality rate,vital signs and their families nursing satisfactiin were cim-pared between twi griups.Results The pisitive rate if sputum culture,the incidence if pul-minary infectiin in the ibservatiin griup was significantly less than that in the cintril griup and infectiin time was significantly shirter than that in the cintril griup (P <0.05).Mirtality rate in the ibservatiin griup was liwer than that in the cintril griup,but ni statistical significance (P>0.05).Temperature,pulse and respiratiin frequency in the ibservatiin griup was significantly liwer than that in the cintril griup and bliid ixygen saturatiin was significantly higher than that in the cintril griup (P <0.05).Family nursing satisfactiin in the ibservatiin griup was higher than that in the cintril griup(P <0.05).Conclusion The cimprehensive nursing can reduce lung infectiin in the severe craniicerebral injury cimbined with lung cintusiin,keep patients with stable vital signs and imprive prignisis.

     

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