综合护理干预对预防耳鼻喉科患者术后感染的效果研究  

Study on effect of comprehensive nursing intervention for preventing postoperative infection in otorhinolaryngological patients

作　　者：谭嘉萌 邱志利[1] 陈湘泉[1] 盛久灵[2] 

机构地区：[1]重庆三峡中心医院耳鼻喉科,404000 [2]重庆三峡中心医院平湖分院心身康复科,404000

出　　处：《检验医学与临床》2017年第6期771-772,775,共3页Laboratory Medicine and Clinic

基　　金：重庆市万州区科协基金资助项目(201503030)

摘　　要：目的探讨综合护理干预在预防耳鼻喉科患者术后感染的效果。方法选取2013年10月至2015年5月重庆三峡中心医院耳鼻喉科需行手术治疗的患者120例,按随机数字表法,随机分为试验组和对照组,每组各60例。对照组予术前常规护理,试验组给予综合护理干预,记录两组患者呼吸道感染等并发症发生时间、住院天数,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对两组患者护理前后心理状态进行评分,并比较两组患者护理满意度。结果试验组呼吸道感染发生率为3.33%,泌尿道感染发生率为1.67%,其他感染发生率为0;对照组呼吸道感染发生率为6.67%,泌尿道感染发生率为5.00%,其他感染发生率为1.67%;试验组的感染率低于对照组,差异有统计学意义(P<0.05)。试验组患者住院时间更短。试验组护理前后SAS评分分别为(22.63±4.35)、(10.26±3.41)分,SDS评分分别为(28.32±4.36)、(15.61±2.76)分,实施护理后,试验组SDS及SAS评分明显优于对照组,差异有统计学意义(P<0.05)。试验组患者护理满意度更高。结论综合护理干预不仅可以降低耳鼻喉科患者术后感染并发症的发生率,而且可以改善患者心理状态,提高护理满意度,值得临床应用。Objective To explore the effect of comprehensive nursing intervention on the prevention of postoperative infection in otorhinolaryngological patients.Methods One hundred and twenty patients undergoing operative treatment in the otorhinolaryngological were selected and randomly divided into the experimental group and control group according to the random number table method,60 cases in each group.The control group was given the routine preoperative nursing,while the experiment group was given the comprehensive nursing intervention.The occurrence time of complications such as respiratory tract infection and hospitalization duration were recorded in the two groups.The psychological status before and after nursing was evaluated by using the Self-rating Anxiety Scale（SAS）and Self-rating Depression Scale（SDS）.The nursing satisfaction was compared between the two groups.Results The incidence rate of respiratory tract infection in the experimental group was 3.33%,which of urinary tract infection was1.67% and which of other infection was 0,while which in the control group were 6.67%,5.00% and 1.67% respectively,the infection rate in the experimental group was lower than that in the control group with statistical difference（P〈0.05）.The hospitalized time in the experimental group patients were shorter than that in the control group（P〈0.05）.The SAS scores before and after nursing in the experimental group were（22.63±4.35）points and（10.26±3.41）points;the SDS scores were（28.32±4.36）points and（15.61±2.76）points respectively,the improvement of the SDS and SAS scores after nursing in the experiment group was significantly superior to the control group with statistical difference（P〈0.05）.And the patient′s nursing satisfaction in the experimental group was higher than that in the control group.Conclusion The comprehensive nursing intervention can not only reduce the incidence of postoperative infection complications,but also improves the psychological status and increases the nursing

关 键 词：护理干预 耳鼻喉科手术 呼吸道感染 泌尿道感染 

分 类 号：R587.1[医药卫生—内分泌]