护理干预对心胸外科术后肺部感染的影响分析  

Effect of nursing interventions on postoperative pulmonary infections in department of cardiothoracic surgery

作　　者：张海燕 朱希燕 张荣泽 李晓峰 付立萍 

机构地区：[1]河北省医科大学第四医院胸心外科,河北石家庄050011

出　　处：《中华医院感染学杂志》2014年第6期1489-1490,1493,共3页Chinese Journal of Nosocomiology

基　　金：河北省强势特色学科基金资助项目(200552)

摘　　要：目的观察护理干预对心胸外科术后肺部感染及肺不张的影响,以促进患者呼吸功能的恢复。方法将60例心胸外科手术患者随机分为观察组和对照组各30例,观察组在常规治疗基础上采取术前健康教育、呼吸功能锻炼、术后健康指导等护理干预措施,对照组采取常规护理模式,观察两组呼吸功能恢复情况及肺部感染率,采用SPSS13.0软件进行统计分析。结果患者呼吸功能相关指标、带管时间等观察组均优于对照组(P<0.05);观察组发生术后肺部感染1例感染率3.33%,肺不张1例发生率3.33%,均低于对照组的10.00%、6.67%,差异有统计学意义(P<0.05)。结论完善护理干预措施有助于患者术后肺功能恢复,降低肺部感染率的发生,促进预后。OBJECTIVE To observe the effect of nursing interventions on postoperative pulmonary injections and atelectasis in patients of department of cardiothoracic surgery so as to promote the recovery of respiratory function. METHODS Totally 60 patients undergoing cardiothoracic surgery were randomly divided into the observation group and the control group, with 30 cases in each, then the observation group was treated with nursing interventions such as preoperative health education, respiratory function practice, and postoperative health guidance based on the conventional treatment, while the control group was treated with the conventional nursing mode, then the recovery of respiratory function and the incidence of pulmonary infections were observed and compared between the two groups, and the statistical anaiysis was performed with the use of SPSS13. 0 software. RESULTS The respiratory function-related indicators and the catheter indwelling time of the observation group were between than those of the control group（P〈0.05）. The incidence of postoperative pulmonary infections was 3.33% （1 case） in the observation group, lower than 10. 0% in the control group, and the incidence of atelectasis was 3. 33% （1 case） in the observation group, lower than 6. 67% in the control group, the difference was statistically significant （P〈0.05）. CONCLUSION The perfect nursing interventions may facilitate the recovery of postoperative lung function, reduce the incidence of pulmonary infections, and promote the prognosis.

关 键 词：护理干预 心胸外科 肺部感染 肺不张 

分 类 号：R563[医药卫生—呼吸系统]