目标设定结合互动宣教对骨科住院患者肺部感染的预防效果研究  

Effect of goal setting combined with interactive education on prevention and control of pulmonary infections in hospitalized patients of orthopedics department

作　　者：李正碧 朱晓镝 李云琴 陈玲 彭忠[3] 

机构地区：[1]重庆市綦江区人民医院骨科,重庆401420 [2]重庆市綦江区人民医院感染科,重庆401420 [3]重庆市綦江区人民医院消化内分泌科,重庆401420

出　　处：《中华医院感染学杂志》2017年第21期5014-5017,共4页Chinese Journal of Nosocomiology

摘　　要：目的研究目标设定结合互动宣教对住院骨科患者肺部感染的预防控制效果,降低骨科住院患者的肺部感染率。方法选择2015年1月-12月医院接受住院治疗的骨科患者2158例作为对照组,选择2016年1月-12月医院接受住院治疗的骨科患者2115例作为试验组;对照组患者进行常规宣教,试验组患者在对照组的基础上采用目标设定结合互动宣教,比较两组患者的肺部感染率、呼吸功能锻炼依从性、呼吸功能和干预满意度,分析其病原菌构成。结果对照组患者2158例,发生肺部感染31例,感染率为1.44%,试验组患者2115例,发生肺部感染6例,感染率为0.28%,差异有统计学意义(P<0.05);37例肺部感染患者共分离出病原菌49株,其中真菌10株,占20.41%,革兰阳性菌13株,占26.53%,革兰阴性菌27株,占55.10%;试验组患者按时做缩唇呼吸锻炼例数占90.97%,明显多于对照组,深呼吸锻炼按时做例数占90.59%,明显多于对照组,差异有统计学意义(P<0.05)。试验组患者的呼吸功能指标评分,肺部啰音、咳嗽程度和痰液黏稠度评分分别为(0.53±0.44)分、(0.41±0.36)分、(0.72±0.49)分,明显低于对照组,差异有统计学意义(P<0.05)。试验组患者总满意率为95.84%,对照组患者总满意率为85.03%(P<0.05)。结论住院骨科患者发生肺部感染的病原菌主要为革兰阴性菌,目标设定结合互动宣教可以降低住院骨科患者的肺部感染率,提高患者的呼吸功能锻炼依从性和呼吸功能,患者对干预满意度较高。OBJECTIVE To study the effect of goal setting combined with interactive education on prevention and control of pulmonary infections in hospitalized patients of orthopedics department so as to reduce the incidence of pulmonary infections in the hospitalized patients of orthopedics department.METHODS Totally 2158 patients who were hospitalized the orthopedics department form Jan 2015 to Dec 2015 were chosen as the control group,and2115 patients who were hospitalized the orthopedics department from Jan 2016 to Dec 2016 were set as the experimental group.The control group was treated with conventional propaganda and education,while the experimental group was given the goal setting combined with interactive education on the basis of the control group.The incidence of pulmonary infections,compliance of respiratory function practice,respiratory function and satisfaction with intervention were compared between the two groups of patients,and the constituent ratios of pathogens were analyzed.RESULTS Totally 31 of 2158 patients had pulmonary infections in the control group,with the infection rate 1.44%;totally 6 of 2115 patients had pulmonary infections in the experimental group,with the infection rate0.28%,and there was significant difference（P〈0.05）.A total of 49 strains of pathogens were isolated from the37 patients with pulmonary infection,of which 10（20.41%）were fungi,13（26.53%）were gram-positive bacteria,and 27（55.10%）were gram-negative bacteria.The proportion of the patients who did lip breathing exercise in a timely manner was 90.97%in the experimental group,significantly higher than that in the control group;the proportion of the patients who did deep breathing exercises in a timely manner was 90.59% in the experimental group,significantly higher than that in the control group（P〈0.05）.The respiratory function index score,pulmonary rales score,cough score and sputum viscosity score of the experimental group were respectively（0.53±0.44）points,（0.41±0.36）points and（0.72±0.49）poin

关 键 词：目标设定 互动宣教 骨科 肺部感染 

分 类 号：R563.1[医药卫生—呼吸系统]