呼吸道护理管理预防肝衰竭病人肺部感染的效果观察
Effect of the respiratory care management in the prevention of pulmonary infection in hepatic failure patients
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摘要: 目的:观察呼吸道护理管理预防肝衰竭病人肺部感染的效果。方法:152例肝衰竭病人按随机数表法分为预防组(n=76)和常规组(n=76)。预防组在基于常规护理之上安排专员小组增添呼吸道护理,同时制定护理质量的衡量标准以及全方位护理监控。比较2组病人感染相关病死率、肺部感染率、人均住院时间和人均住院费等。结果:预防组感染相关死亡占肺部感染人数为38.89%,低于常规组的50.00%,但差异无统计学意义(P>0.05),占全部人数为9.21%,显著低于常规组的23.69%(P<0.01);预防组的肺部感染发生率为23.68%,显著低于常规组的47.37%(P<0.01);常规组住院时间、人均住院费均比常规组少(P<0.01)。结论:呼吸道护理可预防肝衰竭病人肺部感染,降低感染率、病死率,缩短住院所需费用及时间。Abstract: Objective:To observe the effects of the respiratory care management in the prevention of pulmonary infection in hepatic failure patients.Methods:One hundred and fifty-two patients with hepatic failure were divided into the prevention group and conventional group using a random number table method(76 cases each group).The prevention group were nursed with the additional staff responsible for respiratory care based on the routine nursing,and the nursing standard of care measure was formulated for all-round monitoring.The related mortality rate,lung infection rate,average length of hospital stay and consumption between two groups were compared.Results:Among the patients with lung infection,the ratio of related-infection death in prevention group and conventional group were 38.89% and 50.00%,respectively,and the difference of which was not statistically significant(P>0.05).Among all patients,the ratio of related-infection death in prevention group(9.21%) was significantly lower than that in conventional group(23.69%)(P<0.01).The lung infection rate in prevention group(23.68%) was significantly lower than that in conventional group(47.37%)(P<0.01).The length of hospital stay and cost in prevention group were less than those in conventional group(P<0.01).Conclusions:The respiratory care can prevent the lung infection,reduce infection and mortality rates,and shorten the hospitalization time and cost in patients with hepatic failure.
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Key words:
- hepatic failure /
- lung infection /
- respiratory tract /
- nursing
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[1] 杨友道,林青.EB病毒抗-VCA IgM阳性病人病毒标志物及肝功能检查结果分析[J/CD].中华实验和临床感染病杂志(电子版),2014,8(6):785. [2] 占国清,谭华炳,李芳,等.甲胎蛋白、血浆凝血酶原活动度与血清前白蛋白联合检测对慢加急性肝衰竭预后的价值[J].临床消化病杂志,2014,26(4):218. [3] JU CR,CHEN M,ZHANG JH,et al.Higher plasma myostatin levels in cor pulmonale secondary to chronic obstructive pulmonary disease[J].PLoS One,2016,11(3):e0150838. [4] 董荣乔,王亚东,丁俊琴,等.呼吸道管理在预防肝衰竭病人肺部感染中的应用[J].护理研究,2014(12):1453. [5] 欧阳其适,陈春香,蔡方.1.25%碳酸氢钠溶液治疗危重病人厚腻舌苔的效果观察[J].护理学报,2013,16(1):56. [6] SÁNCHEZ SÁNCHEZ E,CERÓN MÁRQUEZ VJ,VELA RUIZ S,et al.Nursing care protocol on management of radiodermitis[J].Rev Enferm,2016,39(1):38. [7] SILES GONZALEZ J,SOLANO RUIZ C,GABAN GUTIERREZ A,et al.International appraisal of nursing culture and curricula:a qualitative study of erasmus students[J].Scientifica (Cairo),2016,2016:6354045. [8] 王丽君,刘蓬蓬,王芳芳,等.呼吸道真菌感染的临床分析[J].山东医药,2010,50(21):10. [9] 屈晶晶,胡成平,顾其华,等.侵袭性肺真菌感染的临床与病原学分析[J].中国呼吸与危重监护杂志,2012,11(6):545. [10] SENDRA C,AMPUERO J,GALLEGO G,et al.Case report:acute-on-chronic liver failure:making the diagnosis between infection and acute alcoholic hepatitis[J].Semin Liver Dis,2016,36(2):181. [11] WU Q,WANG C,CHEN EQ,et al.Interferon lambda 4 polymorphism predicts sustained viral response in hepatitis C virus patients irrespective of hepatitis C virus genotypes,ethnicity or treatment regimen:results from a meta-analysis[J].Hepat Mon,2015,15(12):e32707. [12] 张冬青,陈立,甘巧蓉,等.慢加急性肝衰竭病人发生肝肾综合征的多因素分析[J].中华肝脏病杂志,2013,21(10):743. [13] 杨经玉,万娜,贾燕瑞,等.机械性吸-呼气技术联合振动排痰机促进进行性肌营养不良症合并肺部感染病人痰液引流的护理[J].护士进修杂志,2015,32(5):456. [14] ARORA A,BANSAL N,SHARMA P,et al.Hepatitis C virus infection in patients with end-stage renal disease:a study from a tertiary care centre in India[J].J Clin Exp Hepatol,2016,6(1):21.
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