基于CPIS的护理模式在胰十二指肠切除术后预防肺部感染中的应用  

Application of nursing model based on the clinical pulmonary infection score in preventing pulmonary infection after pancreaticoduodenectomy

作　　者：王慧敏[1] 王璐[1] 李颜含 王海丽[2] 曹胜利[1] WANG Hui-min;WANG Lu;LI Yan-han;WANG Hai-li;CAO Sheng-li(Department of Hepatobiliary Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA;Operating Room,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA)

机构地区：[1]郑州大学第一附属医院肝胆外科,河南郑州450000 [2]郑州大学第一附属医院手术室,河南郑州450000

出　　处：《海南医学》2024年第20期3016-3020,共5页Hainan Medical Journal

基　　金：国家自然科学基金(编号:U2004122)。

摘　　要：目的探讨基于临床肺部感染评分(CPIS)的护理模式在胰十二指肠切除术(PD)后预防肺部感染中的应用价值。方法选取2020年1月至2024年2月郑州大学第一附属医院收治的204例PD患者作为研究对象,按随机数表法分为对照组和研究组各102例。对照组患者给予常规护理干预,研究组患者在对照组基础上给予基于CPIS的护理模式,两组患者均干预至出院。比较两组患者干预前后的肺部感染指标[白细胞计数(WBC)、C反应蛋白(CRP)、可溶性白细胞介素-2(SIL-2R)]及康复指标,同时比较两组患者的肺部感染发生率、并发症发生率和护理满意度。结果干预后研究组患者的WBC、SIL-2R、CRP分别为(4.47±1.06)×10^(9)/L、(316.77±20.16)IU/mL、(6.37±1.93)mg/L,明显低于对照组的(6.25±1.63)×10^(9)/L、(357.63±24.73)IU/mL、(8.64±2.05)mg/L,差异均有统计学意义(P<0.05);研究组患者的发热时间、抗生素使用时间及住院时间分别为(3.75±0.38)d、(9.45±1.28)d、(17.22±3.15)d,明显短于对照组的(6.18±1.03)d、(17.14±3.87)d、(27.59±4.36)d,差异均有统计学意义(P<0.05);研究组患者的肺部感染率及并发症总发生率分别为0.98%、1.96%,明显低于对照组的8.82%、9.80%,差异均有统计学意义(P<0.05);研究组患者的总护理满意度为95.10%,明显高于对照组的86.27%,差异有统计学意义(P<0.05)。结论基于CPIS的护理模式可有效降低PD术后肺部感染风险,预防并发症发生,加速病情改善,提升护理满意度。Objective To explore the application value of the nursing model based on the clinical pulmonary infection score(CPIS)in preventing pulmonary infection after pancreaticoduodenectomy(PD).Methods A total of 204 patients with PD admitted to the First Affiliated Hospital of Zhengzhou University from January 2020 to February 2024 were selected as the study objects.They were divided into a control group and a study group according to random number table method,with 102 patients in each group.The patients in the control group were given routine nursing intervention,while those in the study group were given nursing model based on CPIS plus the intervention in the control group.Both groups were intervened until discharge.The lung infection indicators(white blood cell count[WBC],C-reactive protein[CRP],soluble interleukin-2[SIL-2R])and rehabilitation indicators before and after intervention were compared between the two groups.The incidence of lung infection,complication rate,and satisfaction with nursing care were compared between the two groups.Results After intervention,WBC,SIL-2R,and CRP were(4.47±1.06)×10^(9)/L,(316.77±20.16)IU/mL,and(6.37±1.93)mg/L,respectively,which were significantly lower than(6.25±1.63)×10^(9)/L,(357.63±24.73)IU/mL,(8.64±2.05)mg/L in the control group(P<0.05).Fever time,time of antibiotic use,and length of hospital stay in the study group were(3.75±0.38)d,(9.45±1.28)d,and(17.22±3.15)d,which were significantly shorter than(6.18±1.03)d,(17.14±3.87)d,and(27.59±4.36)d in the control group(P<0.05).The total incidence of pulmonary infection and complications in the study group were 0.98%and 1.96%,respectively,which were significantly lower than 8.82%and 9.80%in the control group(P<0.05).The total satisfaction rate with nursing in the study group was 95.10%,which was higher than 86.27%in the control group(P<0.05).Conclusion The nursing model based on CPIS can effectively reduce the risk of pulmonary infection after PD surgery,prevent complications,promote the recovery of disease,and improve

关 键 词：临床肺部感染评分 胰十二指肠切除术 肺部感染 预防 满意度 

分 类 号：R473.6[医药卫生—护理学]