每日检查记录表对脑梗死患者肺部感染的预防控制效果  

Prevention and control effect of pulmonary infections in patients with cerebral infarction by daily check list

作　　者：马兆玲[1] 任丽[2] 颜凤芹[1] 牛甲民[3] 张桂芹[4] 

机构地区：[1]莱芜市人民医院干部保健科,山东莱芜271100 [2]莱芜市人民医院六区门诊,山东莱芜271100 [3]莱芜市人民医院心血管内科,山东莱芜271100 [4]莱芜市人民医院科教科,山东莱芜271100

出　　处：《中华医院感染学杂志》2016年第19期4544-4546,共3页Chinese Journal of Nosocomiology

基　　金：山东省医药卫生科技发展计划基金资助项目(2013ws0072)

摘　　要：目的探讨每日检查记录表对脑梗死患者肺部感染的预防控制效果,以减少脑梗死患者肺部感染的发生率。方法选择2013年1月-2014年12月于医院治疗的脑梗死患者118例为观察组,采用每日检查记录表进行干预;另选择2011年1月-2012年12月在医院治疗的脑梗死患者116例为对照组,采用常规干预;比较干预1个月后两组患者的肺部感染率、干预质量评分和病原菌分布。结果干预1个月后,观察组患者发生肺部感染6例,感染率为5.08%,对照组患者发生肺部感染19例,感染率为16.38%,两组感染率比较,差异有统计学意义(P<0.01);干预质量评分观察组为(9.73±0.18)分,对照组为(7.43±0.26)分,差异有统计学意义(P<0.01);观察组患者检出病原菌6株,对照组患者检出病原菌19株,检出前3位病原菌分别为大肠埃希菌、肺炎克雷伯菌和表皮葡萄球菌,两组患者检出各菌株数差异均无统计学意义。结论在脑梗死患者干预中运用每日检查记录表,可提高患者满意度、干预质量、减少肺部感染率。OBJECTIVE To explore the prevention and control effect of daily check list on pulmonary infections in patients with cerebral infarction,in order to reduce the incidence of pulmonary infections in patients with cerebral infarction.METHODS A total of 118 cases of patients with cerebral infarction treated in our hospital from Jan.2013 to Dec.2014 were selected as the observation group,and daily check list was used for intervention.Another116 patients with cerebral infarction treated in our hospital from Jan.2011 to Dec.2012 were selected as control group,and routine nursing intervention was adopted.Pulmonary infection rate,nursing quality score and pathogenic bacteria distribution of these two groups were compared after one month of intervention.RESULTS After one month intervention,there were 6cases got pulmonary infection in observation group,and infection rate was5.08%,19 cases in control group with infection rate 16.38%.The difference was significant（P〈0.01）.Nursing quality score was（9.73±0.18）in observation group,and（7.43±0.26）in control group.The difference was significant（P〈0.01）.Patients in the observation group were detected 6strains of pathogenic bacteria,control group19 strains,and the top three were Escherichia coli,Klebsiella pneumoniae and Staphylococcus epidermidis.There was no significant difference for the amount of pathogenic bacteria detected from the patients in two groups.CONCLUSION Using daily check list for intervention to patients with cerebral infarction can improve patient satisfaction,nurse quality of care and reduce the rate of pulmonary infection.

关 键 词：脑梗死 患者 每日检查记录表 肺部感染 

分 类 号：R563.1[医药卫生—呼吸系统]