视频宣教对神经内科住院患者肺部感染的预防效果研究  

Effect of video education on prevention of pulmonary infections in hospitalized patients in department of neurology

作　　者：张宝梅[1] 王兰桂[1] 马丽萍[1] 仲桂英[1] 

机构地区：[1]青海大学附属医院神经内科,青海西宁810016

出　　处：《中华医院感染学杂志》2017年第17期4056-4059,共4页Chinese Journal of Nosocomiology

摘　　要：目的探究视频教育对神经内科住院患者肺部感染的预防效果。方法选取2013年1月-2015年12月于医院接受治疗的204例神经内科住院患者为研究对象,按照随机数表法平均分成对照组和观察组,每组各102例;观察组与对照组分别采用视频宣教法和传统的口头宣讲法对患者讲述神经内科肺部感染相关知识及健康指导;收集患者的痰液标本进行病原菌分离及鉴定;对两组患者肺部感染知识掌握程度、病情改善情况、对护士的满意程度及感染率进行比较。结果观察组与对照组的治疗有效率分别为95.10%和89.22%,观察组患者的病情改善情况明显优于对照组患者;出院时观察组与对照组患者关于肺部感染相关知识掌握程度的测试分数分别为(79.54±1.88)分、(65.23±1.45)分,住院天数分别为(15.45±1.23)d、(20.33±1.65)d;观察组患者发生肺部感染2例,感染率为1.96%,对照组患者发生肺部感染9例,感染率为8.82%,两组比较差异有统计学意义(P<0.05);观察组患者对护士满意程度评分为(28.01±0.55)分,对照组为(27.98±0.88)分,两组比较差异无统计学意义;痰培养共分离出病原菌303株,其中革兰阴性菌198株占65.35%,革兰阳性菌90株占29.70%,真菌15株占4.95%。结论视频教育对于神经内科住院患者肺部感染的预防效果要优于传统的口头宣讲方式,视频教育有利于神经内科住院患者肺部感染的预防。OBJECTIVE To explore the effect of video education on prevention of pulmonary infections in hospitalized patients in neurology department.METHODS A total of 204 patients in department of neurology in our hospital from Jan.2013 to Dec.2015 were selected as the research subjects,and were randomly divided into observation group and control group according to the random number table method,with 102 cases in each group.Patients in observation group were treated with the method of video education on patients with visual knowledge about pulmonary infections in the department of neurology and health guidance,and in control group were treated with oral presentation of traditional method about knowledge of neurology patients with pulmonary infections and health guidance.Sputum samples of patients were collected for isolation and identification of pathogenic bacteria,and the knowledge of pulmonary infections,the improvement of the disease,the degree of satisfaction of nurses and the infection rate were compared between the two groups.RESULTS The effective rates of observation group and control group were 95.10%and 89.22%,and the improvement of the patients in observation group was significantly better than that in control group.At discharge,the test scores of relevant knowledge of pulmonary infection in observation group and the control group were（79.54±1.88）points and（65.23±1.45）points,hospitalization durations were（15.45±1.23）d and（20.33±1.65）d.There were 2 cases of pulmonary infection in observation group,with the infection rate of 1.96%,and 9 cases in control group,with the infection rate of 8.82%,and the difference between the two groups was significant（P〈0.05）.The satisfaction degree of the patients in observation group was（28.01 ＋ 0.55）points,and in control group was（27.98 ＋ 0.88）points,and the difference between the two groups was not significant.A total of 303 strains of pathogenic bacteria were isolated from sputum culture,among which 198 were gram-negative bacteria,accounting

关 键 词：视频教育 神经内科 肺部感染 

分 类 号：R563[医药卫生—呼吸系统]