作　　者： (林晓敏）;

机构地区： 福建医科大学附属第一医院ICU,福建福州350000

出　　处： 《中国卫生标准管理》 2017年第18期140-142,共3页

摘　　要： 目的探讨分析预见性护理对预防重型颅脑损伤并发肺部感染的影响。方法随机选取我院收治的54例重型颅脑损伤患者为研究对象,将其分为常规组与研究组,各27例,常规组实施ICU常规护理措施,研究组在常规护理的基础上根据并发肺部感染的高危因素实施预见性护理干预,比较两组肺部感染发生情况及患者满意度。结果研究组并发肺部感染的发生率为7.41%,低于常规组37.04%(P<0.05);研究组痰菌培养阳性率为18.52%,常规组为44.44%,组间差异具有统计学意义(P<0.05);研究组护理满意度为96.30%,优于常规组81.48%(P<0.05)。结论对重型颅脑损伤患者配合予以预见性护理干预,可有效预防肺部感染的发生,减轻患者的痛苦,提高患者对护理工作的满意度。 Objective To explore the effect of predictive nursing on the prevention of severe craniocerebral injury and pulmonary infection. Methods 54 patients in our hospital were randomly divided into the routine group （n=27） and the study group （n=27）. The routine group received routine nursing, the study group received predictive nursing. The incidence of pulmonary infection and patient satisfaction of two groups were compared. Results The incidence of pulmonary infection in study group was 7.41%, which was lower than routine group 37.04% （P 〈 0.05）. The positive rate of sputum culture of study group was 18.52%, and the routine group was 44.44%, the difference between the two groups was signifcant （P 〈 0.05）. The nursing satisfaction rate of study group was 96.30%, which was better than routine group 81.48% （P 〈 0.05）. Conclusion Predictive nursing can effectively prevent pulmonary infection in patients with severe craniocerebral injury and improve patient satisfaction.

关 键 词： 预见性护理 重型颅脑损伤 肺部感染