规范化护理在多重耐药菌感染患者中的实施效果  

Efficacy of standardized nursing on patients with multi-drug resistant bacteria infection

作　　者：陈根秀[1] 邓伍秀[2] 钟美兴[3] 张巧玲[1] 陈观凤[4] 

机构地区：[1]赣南医学院第一附属医院呼吸一区,江西赣州341000 [2]赣南医学院第一附属医院肿瘤二区,江西赣州341000 [3]赣南医学院第一附属医院纪检室,江西赣州341000 [4]赣南医学院第一附属医院急诊科,江西赣州341000

出　　处：《中国当代医药》2017年第24期147-150,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20161098)

摘　　要：目的探讨规范化护理在多重耐药菌感染患者中的实施效果。方法选择2011年1月~2014年12月在赣南医学院第一附属医院呼吸科住院、符合下呼吸道感染诊断且痰培养两次以上细菌呈阳性、均使用细菌敏感的抗生素治疗的120例住院患者。选取2011年1月~2012年12月住院患者经过筛查符合条件的患者78例为对照组,从2013年1月开始我科针对呼吸道多重耐药菌感染的患者实施规范化护理管理模式,选取2013年1月~2014年12月住院患者,经过筛查符合条件的患者共42例为观察组,比较两组的实施效果。结果观察组患者转归情况、一般情况、痰检情况均优于对照组,多重耐药菌发生率低于对照组,手卫生执行率及患者满意度高于对照组,抗生素使用天数、住院天数短于对照组,住院费用低于对照组,差异有统计学意义(P<0.05)。结论规范化护理管理能够减少多重耐药菌感染患者住院天数,提高多重耐药菌感染痰培养转阴率,缩短患者使用抗生素的平均天数,减少住院费用,有利于改善患者一般情况,促进患者转归,提高患者的满意度,降低多重耐药菌的发生率、提高医护人员手卫生执行率,值得临床推广应用。Objective To explore the efficacy of standardized nursing on patients with multi-drug resistant bacteria infection.Methods 120 patients treated in the Department of Pneumology in Gannan Medical College First Affiliated Hospital from January 2011 to December 2014,who were diagnosed with lower respiratory infection with more than twice positive results of sputum culture and treated by bacteria-sensitive antibiotics were selected.78 hospitalized patients（January 2011 to December 2012） meeting the inclusion criteria were divided into the control group,and 42 patients（January 2013 to December 2014） were divided into the observation group as standardized nursing had been conducted since January 2013 among patients with multi-drug resistant bacteria infection in respiratory tract.The implementation effect of two groups were compared.Results The general condition of patients,outcome of patients and sputum culturing results in the observation group were all significantly better than those in the control group,the incidence rate of multidrug resistant bacteria lower than that in the control group,the satisfaction of patients and hand sanitation execution rate were higher than those in the control group,the number of days of antibiotics application and hospital days were shorter than those the control group,the hospital costs was less than that in the control group,and the differences were statistically significant（P〈0.05）.Conclusion Standardized nursing management can reduce the number of hospitalized days in patients with multi-drug resistant bacteria infection,increase the negative conversion ratio of sputum culturing,shorten the average days of antibiotic application,reduce the cost of hospitalization,improve the general condition of patients,promote the outcome of patients,improve patients′satisfaction,reduce the incidence of multi-drug resistant bacteria and improve hand sanitation execution rate among medical workers,which is worthy to be promoted.

关 键 词：规范化护理 多重耐药菌感染 效果 

分 类 号：R473.5[医药卫生—护理学]