针对性护理干预对老年恶性血液病患者院内感染的影响分析

摘要

目的 探讨针对性护理干预对恶性血液病患者的临床效果及院内感染发生情况的影响.方法 选取2016年1月 ~2017年1月解放军总医院血液科收治的恶性血液病患者68例,按随机数字表法将所有患者分为观察组34例和对照组34例,对照组患者给予常规护理;观察组患者在常规护理基础上给予针对性护理干预,观察两组患者的院内感染发生情况及抗生素使用时间、感染消除时间、院内感染后并发症发生情况,采用世界卫生组织生存质量评定量表简表(WHOQOL—BREF)对干预后患者的生存质量进行评价,同时对所有患者的护理满意度进行调查.结果 观察组患者院内感染的发生率显著低于对照组患者,差异具有统计学意义(P<0.05),其中院内感染主要发生于呼吸系统、消化系统和肛周;观察组患者感染消退时间、抗生素治疗时间及院内感染并发症发生率均显著低于对照组患者,差异均具有统计学意义(P<0.05);观察组患者干预后WHOQOL-BREF各领域评分及总分均明显高于对照组,同时观察组患者的护理满意度显著高于对照组患者,差异具有统计学意义(P<0.05).结论 针对性护理干预能够有效降低患者院内感染的发生率,缩短感染时间,降低并发症发生率,同时能有效提高患者护理满意度,改善患者生存质量,值得临床推广.%Objective To investigate the effect of targeted nursing intervention on the clinical efficacy and nosocomial infection in patients with hematologic malignancies. Methods Between January 2016 and January 2017,68 patients with hematological malignancies were admitted to the Department of Hematology of PLA General hospital,all the patients were randomly divided into the observation group with 34 cases and the control group with 34 cases. The patients in the control group received routine nursing care,while the observation group received specific nursing intervention on the basis of routine nursing,the occurrence of nosocomial infection,the time of antibiotics usage,the time of elimination of infection and the complications after hospital infection were observed in the two groups,WHOQOL - BREF scale was used to evaluate the quality of life of the patients after the intervention,and the satisfaction degree of all the patients was investigated. Results The incidence of nosocomial infection in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P< 0.05), among which nosocomial infection occurred mainly in the respiratory,digestive and perianal infections;patients in the observation group the incidence of infection subsided were significantly lower than the control group in patients with complications of infection treatment time and hospital time of antibiotics,and the differences were statistically significant(P< 0.05);patients in the observation group after the intervention,the score of each field of WHOQOL - BREF and total score were significantly higher than those in control group,and satisfaction of patients in observation group were significantly higher than that of patients in the control group,the difference was statistically significant(P < 0.05). Conclusion The nursing intervention for patients can effectively reduce the incidence of nosocomial infection,shorten the duration of infection,reduce the incidence of complications,and improve nursing satisfaction of patients,improve the quality of life of patients.It is worthy of promotion.