强化干预对巨大室缺患儿术后医院肺部感染预防效果研究  

Preventive effect of intensive intervention on postoperative pulmonary infection in children with huge ventricular septal defect

作　　者：张丽平[1] 武秋菊[1] 张毅强[1] 袁心刚[1] 张宴达 ZHANG Li-ping;WU Qiu-ju;ZHANG Yi-qiang;YUAN Xin-gang;ZHANG Yan-da(Henan provincial Chest Hospital,Zhengzhou,Henan 450000,China)

机构地区：[1]河南省胸科医院心外科,河南郑州450000

出　　处：《中华医院感染学杂志》2020年第11期1745-1748,共4页Chinese Journal of Nosocomiology

基　　金：河南省自然科学基金资助项目(2015780125)。

摘　　要：目的探究强化干预措施对预防巨大室缺患儿修补术后医院肺部感染的预防效果。方法选择2017年1月-2018年1月在河南省胸科医院行室间隔缺损修补术的82例患儿为研究对象,采用随机数表法分为干预组和对照组各41例,对照组实行常规目标监测,干预组在此基础上采取强化干预措施,比较两组患儿术后肺部感染的发生率和患儿及家属对治疗的满意程度。结果干预组实施目标监测联合强化干预后感染率2.44%(1/41)低于对照组(P=0.048)。干预组对感染知识合格率和对治疗满意率分别为92.68%(38/41)、85.37%(35/41)均高于对照组(P<0.001)。结论对患儿实施目标监测可有效降低其术后肺部感染发生率且可增加患儿及家属对肺部感染预防知识的掌握并能促进医患沟通,有助于改善医患关系。OBJECTIVE To investigate the preventive effect of intensive intervention on prevention nosocomial pulmonary infection in children with large ventricular deficiency.METHODS Eighty-two children underwent ventricular septum defect repair in Henan Chest Hospital from Jan.2017 to Jan.2018 were selected as the research subjects and divided into the intervention group and the control group by random number table method,41 cases in each group.The control group was monitored with routine target monitoring,and the intervention group took intensive intervention measures based on this.The incidence of postoperative pulmonary infection and the degree of satisfaction of children and their families with the treatment were compared between the two groups.RESULTS the infection rate of 2.44%(1/41)in the intervention group was significantly lower than that in the control group(P=0.048).The qualified rate of infection knowledge and the satisfaction rate of treatment in the intervention group were 92.68%(38/41)and 85.37%(35/41),respectively,significantly higher than those in the control group(P<0.001).CONCLUSION Target monitoring of children can effectively reduce the incidence of postoperative pulmonary infection,increase the knowledge on the prevention of pulmonary infection of children and their families,and promote doctor-patient communication,which can help improve the doctor-patient relationship.

关 键 词：室间隔缺损 肺部感染 强化干预 

分 类 号：R563.1[医药卫生—呼吸系统]