循证护理干预对ICU重症颅脑外伤患者院内感染的预防效果研究  

Effect of evidence-based nursing intervention on preventive efficacy of nosocomial infection in ICU for severe traumatic brain injury patients

作　　者：孙建兰[1] 周洪兰[1] 

机构地区：[1]江苏省连云港市第二人民医院,江苏连云港222023

出　　处：《实用临床医药杂志》2017年第10期10-13,共4页Journal of Clinical Medicine in Practice

摘　　要：目的研究循证护理干预在ICU重症颅脑外伤患者中的应用效果。方法选取本院ICU收治的98例重症颅脑外伤患者,随机分为对照组与研究组各49例,对照组患者采用常规护理措施,观察组患者给予循证护理干预,比较2组患者治疗时间、神经功能、运动功能及院内感染等情况。结果观察组患者的机械通气时间、ICU治疗时间与住院时间显著短于对照组(P<0.05);观察组患者护理后的NIHSS评分与FMA评分显著优于对照组(P<0.05);观察组患者的压疮、切口感染、胃肠道感染、肺部感染与泌尿道感染发生率均显著低于对照组(P<0.05)。结论 ICU重症颅脑外伤患者行循证护理干预可良好缩短临床治疗时间,改善患者神经功能与运动能力,对院内感染有积极预防作用。Objective To study the effect of emergency nursing on the clinical treatment time and prognosis of patients with acute cerebral infarction. Methods A total of 98 severe traumatic brain injury patients in ICU in our hospital were randomly divided into control group and study group, with 49 cases in each group. The control group was given conventional nursing measures, and the observation group was given evidence -based nursing intervention. The treatment time, neurological function, activity function and nosocomial infection in the two groups were compared. Results The mechanical ventilation time, ICU treatment time and hospitalization time in the observation group were significantly lower than in the control group （P 〈 0.05 ） ; After nursing, the NIHSS score and FMA score in the observation group were significantly better than in the control group （ P 〈 0.05 ） ; The in- cidences of pressure ulcer, wound infection, gastrointestinal tract infection, pulmonary infection and urinary tract infection in the observation group were significantly lower than in the control group （P 〈 0.05 ）. Conclusion The evidence -based nursing intervention can significantly shorten clinical treatment time, improve the neurological function and activity function, and has positive preventive effects on nosocomial infection.

关 键 词：ICU 重症颅脑外伤 循证护理 医院感染 

分 类 号：R473.6[医药卫生—护理学]