肾移植肺部感染患者的护理  

Experience in nursing patients with pulmonary infection after kidney transplantation

作　　者：黄璐[1] Huang Lu(Emergency ICU,the 7th People＇s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市第七人民医院急诊ICU,450000

出　　处：《国际移植与血液净化杂志》2018年第5期22-24,共3页International Journal of Transplantation and Hemopurification

摘　　要：目的探讨。肾移植肺部感染患者的护理。方法纳入2016年1月至2017年11月我院收治的10例肾移植肺部感染患者，采用信封法分为两组，对照组予基础常规护理，试验组在对照组基础上给予综合护理。比较两组肾移植肺部感染患者满意度、肾移植手术后住院天数、肺部感染症状控制时间、下床活动时间、功能锻炼开始时间、护理前后患者肺部感染指标、生存质量量表平均分数、患者治疗的依从性。结果试验组肾移植肺部感染患者满意度高于对照组（P〈0．05）；试验组肾移植手术后住院天数、肺部感染症状控制时间、下床活动时间、开始功能锻炼时间优于对照组（P〈0．05）。护理前两组肺部感染指标、生存质量量表平均分数相似（P〉0．05）；护理后试验组肺部感染指标、生存质量量表平均分数优于对照组（P〈0．05）。试验组患者治疗的依从性高于对照组（P〈0．05）。结论综合护理在肾移植肺部感染患者中的效果确切，可提高患者依从性，缩短康复时间，改善患者生活质量。Objective To explore the nursing experience of patients with pulmonary infection after kidney transplantation. Methods 10 patients with pulmonary infection after kidney transplantation were enrolled from January 2016 to November 2017 in our hospital, and were further divided into two groups by envelope method. The control group was given basic routine care, and the experimental group received comprehensive care on the basis of the routine care. The satisfactions of two groups, the numbers of days spent in hospital after kidney transplantation, the time to control symptoms of pulmonary infection, the time to get out of bed, and the time to start functional exercise were analyzed. The pulmonary infection index, mean score of quality of life scale before and after nursing care and the degree of patient compliance with treatment were also compared. Results The nursing satisfaction level of patients with pulmonary infection after kidney transplantation was higher in the experimental group than that in the control group （ P〈0.05 ）. The number of days spent in hospital after kidney transplantation, the time to control symptoms of pulmonary infection, the time to get out of bed, and the time to start functional exercise of patients in the experimental group were superior to that in the control group （P〈0.05）. Before comprehensive nursing, pulmonary infection index and mean score of quality of life scale were similar between the two groups （P〉0.05）. The mean score of pulmonary infection index and quality of life scale in the experimental group was better than that in the control group （ P〈0.05 ）. The treatment compliance degree of the experimental group was higher than that of the control group （ P〈0.05 ）. Conclusion The intervention result of comprehensive nursing in the nursing of lung infection in kidney transplantation can improve the patient compliance, shorten the recovery time and improve the patient＇s quality of life.

关 键 词：肾移植 肺部感染 护理 

分 类 号：R473.6[医药卫生—护理学]