强化感染护理对降低呼吸重症患者发生多重耐药菌感染的影响评价  

Evaluation on the effect of intensive infection nursing on reducing the occurrence of multi-drug resistant bacteria infection in patients with severe respiratory disease

作　　者：陈根秀[1] 陈观凤[2] 邓伍秀[3] 陈淑文 巫小兰 CHEN Gen-xiu;CHEN Guan-feng;DENG Wu-xiu;CHEN Shu-wen;WU Xiao-lan(Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou341000,China;Department of Emergency,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou341000,China;Department of Oncology,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]赣南医学院第一附属医院呼吸与危重症医学科,江西赣州341000 [2]赣南医学院第一附属医院急诊科,江西赣州341000 [3]赣南医学院第一附属医院肿瘤科,江西赣州341000

出　　处：《中国当代医药》2021年第13期235-237,共3页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20161098)。

摘　　要：目的探讨强化感染护理对降低呼吸重症患者多重耐药菌感染的影响。方法选取赣南医学院第一附属医院2018年2月~2020年6月收治的80例呼吸重症患者作为研究对象,按照随机数字表法分为观察组(40例)与对照组(40例)。对照组采用抗感染护理,观察组采用强化感染护理。比较两组的多重耐药菌感染情况和转归情况、各项指标合格率、护理总满意度。结果观察组的多重耐药菌感染率低于对照组,差异有统计学意义(P<0.05);两组的多重耐药菌感染治愈率、死亡率比较,差异无统计学意义(P>0.05);观察组的医疗废弃物处理合格率、个人防护用品合格率、手卫生合格率高于对照组,差异均有统计学意义(P<0.05);观察组的护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论强化感染护理能降低呼吸重症患者多重耐药菌感染发生率,提高患者对护理工作的满意度,值得临床推广。Objective To explore the effect of intensive infection nursing on reducing the incidence of multi-drug resistant bacteria infection in severe respiratory patients.Methods Eighty patients with severe respiratory illness admitted to the First Affiliated Hospital of Gannan Medical University from February 2018 to June 2020 were selected as the research objects,and were divided into the observation group(40 cases)and the control group(40 cases)according to the random number table method.The control group adopted anti-infection nursing and the observation group adopted intensive infection nursing.The infection and outcome of multi-drug resistant bacteria,the qualification rate of various indicators,and the total satisfaction of nursing were compared between the two groups.Results The infection rate of multi-drug-resistant bacteria in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).There were no significant difference in the cure rate and mortality of multi-drug-resistant bacteria infection between the two groups(P>0.05).The qualified rates of medical waste disposal,personal protective equipment,and hand hygiene of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The observation group′s total nursing satisfaction was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Intensified infection nursing can reduce the incidence of multi-drug-resistant bacterial infections in patients with severe respiratory illness,and improve patients′overall satisfaction with nursing work.It is worthy of clinical promotion.

关 键 词：呼吸重症 强化感染护理 多重耐药菌 感染 总满意度 

分 类 号：R473[医药卫生—护理学]