鼻部护理干预对ANCA相关性血管炎患者预防感染的研究  

Prevention effect of nasal nursing intervention on patients with ANCA associated vasculitis infections

作　　者：刘婷[1] 李亭玉 刘丽红 

机构地区：[1]首都医科大学附属北京同仁医院肾、风湿科,北京100730

出　　处：《中华医院感染学杂志》2017年第17期4063-4065,共3页Chinese Journal of Nosocomiology

摘　　要：目的研究鼻部护理干预对抗中性粒细胞胞浆抗体(ANCA)相关性血管炎患者感染相关并发症及病情活动的影响。方法选取2014年5月-2016年5月在医院治疗的ANCA相关性血管炎患者60例作为研究对象,根据患者自愿原则分为对照组和观察组,每组各30例;对照组患者给予常规护理干预,观察组患者在对照组常规护理干预的基础上给予鼻部护理干预,比较两组患者不同部位感染率、病原菌检出率、病情活动度评分及心理状态评分。结果干预后观察组患者皮肤、呼吸道、胃肠道、泌尿系统感染率分别为6.7%、6.7%、3.3%、3.3%,明显低于对照组,两组比较差异有统计学意义(P<0.05);干预后观察组金黄色葡萄球菌、肺炎链球菌、大肠埃希菌检出率分别为6.7%、6.7%、3.3%、3.3%,明显低于对照组,两组比较差异有统计学意义(P<0.05);护理干预后观察组患者在皮肤、皮肤黏膜、耳鼻喉、呼吸系统、心血管、消化、肾脏系统评分均明显优于对照组患者,两组比较差异有统计学意义(P<0.05);两组患者护理干预前焦虑自评量表(SAS)、汉密尔顿抑郁量表(HAMD)评分对比无明显差异,实施护理干预后观察组SAS评分为34.27±2.27,HAMD评分为16.34±6.26,明显优于对照组患者,两组比较差异有统计学意义(P<0.05)。结论鼻部护理干预有助于控制ANCA相关性血管炎患者感染和复发,值得临床推广运用。OBJECTIVE To investigate the effect of nursing intervention on nasal related complications in patients with ANCA associated vasculitis infections and disease activity.METHODS A total of 60 patients with ANCA associated vasculitis from May 2014 to May 2016 were selected as the research subjects,and were divided into control group and observation group according to the principle of voluntary,with 30 cases in each group.Patients in control group were given routine nursing intervention,and in observation group were given nasal nursing intervention based on routine nursing intervention.The infection rate of different parts,pathogen detection rate,disease activity score and psychological status score were compared between the two groupsRESULTS After the intervention,the infection rates of skin,respiratory tract,gastrointestinal tract and urinary system of observation group were 6.7%,6.7%,3.3%and 3.3%,which were significantly lower than those of control group（P〈0.05）.After treatment,the detection rates of Staphylococcus aureus,Streptococcus pneumoniae and Escherichia coli in observation group were 6.7%,6.7%and 3.3%,which were significantly lower than those of control group（P〈0.05）.After nursing intervention,the scores of skin,mucocutaneous,ENT,respiratory,cardiovascular,digestive and kidney system of observation group were significantly better than those of control group（P〈0.05）.There was no significant difference between the two groups before the intervention in SAS and HAMD scores.After nursing intervention,SAS score and HAMD score of observation group were 34.27±2.27 and 16.34 ± 6.26,which were significantly better than those of control group（P〈0.05）.CONCLUSION Nasal nursing intervention is helpful to control and recrudesce infections in patients with ANCA associated vasculitis,which is worthy of clinical application.

关 键 词：鼻部护理 血管炎 感染 复发 

分 类 号：R473.76[医药卫生—护理学]