神经外科危重患者发生下呼吸道感染的因素分析及护理对策  

Factor analysis and nursing countermeasures of lower respiratory infection for critical neurosurgery patients

作　　者：付芳[1] 徐琼英[1] 温映霞[1] 

机构地区：[1]深圳市龙岗中心医院急诊科,深圳市518116

出　　处：《护理实践与研究》2016年第11期104-105,共2页Nursing Practice and Research

摘　　要：目的：探讨神经外科危重患者发生下呼吸道感染的危险因素,制定护理对策。方法：选择2013年1月-2015年4月在我院神经外科住院治疗的危重患者122例为研究对象,其中发生下呼吸道感染的患者61例,未发生下呼吸道感染的61例,对患者的情况进行对比分析,找出发生下呼吸道感染的影响因素,对有明显统计学差异的纳入单因素Logistic回归模型分析,针对危险因素采取相应的护理对策。结果：患者的性别、H2受体阻滞剂使用情况、文化程度、合并呼吸系统疾病与发生感染无明显的统计学差异;患者年龄、使用呼吸机、使用抗菌药物与发生感染呈负相关关系;意识障碍情况、气管切开、留置胃管情况与感染的发生呈正相关关系。结论：对神经外科危重患者,应针对发生下呼吸道感染的危险因素,实施针对性护理。Objective：To discuss risk factors of lower respiratory infection for critical neurosurgery patients and formulate nursing countermeasures.Methods：Selected 122 cases of hospitalized critical patients in our neurosurgery department from January 2013 to April 2015 as study objects,among them,61 patients had lower respiratory infection and 61 patients didn＇t have lower respiratory infection.By contrastive analysis,found out influence factors of lower respiratory infection,then included the factors of significant statistical difference into binary Logistical regression analysis and adopted corresponding nursing measures targeted at critical factors.Results：There was no significant statistical difference in patient genders,use of H2 receptor antagonists,education degrees and combined respiratory diseases;patient age,use of respirator and use of antibacterial agents were negatively correlated with infections;disturbance of consciousness,tracheotomy and gastric intubation were positively correlated with infections.Conclusion：For critical neurosurgery patients,corresponding nursing should be provided against risk factors of lower respiratory infection.

关 键 词：神经外科 下呼吸道感染 危险因素 护理对策 

分 类 号：R473.6[医药卫生—护理学]