循证护理对预防脑卒中患者肺部感染的临床研究

摘要

目的探讨循证护理在预防脑卒中患者住院期间肺部感染的可行性和临床疗效。方法回顾性分析我院收治的脑卒中患者206例，随机分为103例实验组和103例对照组，对照组患者予以常规院内基础护理，实验组患者予以循证护理干预，包括心理护理、肺部护理及营养支持等措施。对比两组患者经护理后的感染发生率及护理效果。结果实验组患者感染率为11.65%，经过规范对症治疗后11例患者痊愈，仅1例患者因脑卒中症状严重，卧床时间较长，感染部位较多，导致治疗效果不显著，感染治愈率为91.66%。对照组患者感染率为22.33%，显著高于实验组感染率，对照组感染患者治愈率为13.04%，显著低于实验组。实验组、对照组患者护理总有效率分别为99.03%、88.35%，差异见χ2=13.26，P＜0.05。结论循证护理工作可提高患者身体质量和治疗效果，显著降低脑卒中患者院内肺部感染发生率，缩短患者住院时间，改善患者预后生活质量。%Objective To study the feasibility and clinical effect of evidence-based nursing used to prevent the patients with stroke infecting lung.Methods 206 cases of patients with stroke were analysed retrospectively.They were divided into experimental group (103 cases) and control group (103 cases).Patients of control group received conventional nursing,while experimental group received evidence-based nursing.The incidence of infection and nursing effect of two groups were compared.Results The incidence of infection of experimental group was 11.65%,and infection cured rate was 91.66%. The Incidence of infection of control group was 22.33%,and infection cured rate was 13.04%. Was significantly lower than the experimental group. Experimental group and control group, respectively, the total efficiency of patient care was 99.03%, 88.35%, difference seeχ2=13.26, P<0.05. Conclusions Evidence-based nursing can improve the quality of patients and cure effect, obviously reduce the infection rate of lung, shortening hospital stays and improving the Prognosis of quality of life.