住院内科患者吸入性肺部感染的管理流程建构研究

Construction of hospitalized medical patients inhaled pulmonary infection management processes

  • 摘要: 目的 探讨住院内科患者吸入性肺部感染的管理流程建构,降低患者吸入性肺部感染率。方法 选取2012年1月-2015年12月医院内科住院患者158例,依据入院时间分为观察组(2014年1月-2015年12月,改良干预管理流程)和对照组(2012年1月-2013年12月,传统管理流程),比较两组患者的吸入性肺部感染率、发生原因、住院指标、不良并发症及干预满意率。结果 吸入性肺部感染率观察组患者为11.76%,对照组患者为37.78%,差异有统计学意义(P<0.05);观察组患者呼吸机使用时间、肺啰音消失时间、ICU住院时间及总住院时间均明显低于对照组,差异有统计学意义(P<0.05);观察组患者吸入性肺部感染原因:胃肠功能障碍5.88%,吸痰方式不当2.94%,剧烈咳嗽2.94%;对照组患者吸入性肺部感染原因:胃肠功能障碍10.00%,鼻饲方式不当3.33%,吸痰方式不当13.33%,体位管理不当2.22%,剧烈咳嗽8.89%;观察组68例患者,不良并发症及干预满意率分别为19.12%、95.59%,对照组90例患者,不良并发症及干预满意率分别为38.89%、70.00%。结论 改良后的干预管理流程能够降低住院内科患者吸入性肺部感染的风险,提高患者干预满意度。

     

    Abstract: OBJECTIV To explore the construction of the management process of inhaled pulmonary infection in hospitalized medical patients, so as to reduce the incidence of pulmonary infection. METHODS A total of 158 cases of hospitalized medical patients from Jan. 2012 to Dec. 2015 were selected, and were divided into observation group (from Jan. 2014 to Dec. 2015, the modified intervention management process) and control group (from Jan. 2012 to Dec.2013, the traditional management process) according to the time of admission. The inhaled pulmonary infection rate, causes, satisfaction indexes, adverse complications and satisfaction rate of intervention of the two groups of patients were compared. RESULTS The inhaled pulmonary infection rate of observation group and control group were respectively 11.76% and 37.78%, and the difference was significant (P<0.05). The ventilator time, pulmonary rales disappeared time, ICU stay time and total hospitalization time of observation group were significantly lower than those of control group (P<0.05) The causes of pulmonary infection of observation group included gastrointestinal dysfunction (5.88%), sputum improper (2.94%), and inappropriate suctioning method (2.94%), and the causes of pulmonary infection of control group included gastrointestinal dysfunction (10%), improper nasal feeding methods(3.33%), improper suctioning method (13.33%), improper position management of severe(2.22%), and severe cough (8.89%)., The adverse complications and satisfaction rate of intervention of 68 cases in observation group were 19.12% and 95.59%, and of 90 cases in control group were 38.89% and 70%. CONCLUSION The improved intervention management process can reduce the risk of pulmonary infection in hospitalized medical patients, and improve satisfaction of patients.

     

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