腹主动脉瘤支架植入术后感染倾向的循证护理干预策略及其效果

Study on evidence-based nursing interventions to abdominal aortic aneurysm patients at risk of infection following stent implantation and their effects

  • 摘要: 目的 探讨循证护理对腹主动脉瘤支架植入术后出现感染倾向的患者恢复的有效性。方法 选取2022年10月-2025年10月解放军总医院第一医学中心血管外科收治的57名腹主动脉瘤支架植入术后出现感染倾向的患者为研究对象,按术后护理方式分为常规护理组(n=30)和循证护理组(n=27),比较两组患者一般资料的差异,通过加权logistic分析循证护理对患者术后感染倾向恢复的有效性。结果 循证护理组排痰优良率(96.30%)高于常规护理组(P<0.05)、下床活动时间(19.06±2.25)h早于常规护理组(P<0.05)、抗菌药物使用时长(2.25±0.05)d和住院时长(7.69±1.25)d均少于常规护理组(均P<0.05); 校正相关混杂因素后,循证护理是患者使用抗菌药物时长的保护性因素(OR=0.774, 95%CI: 0.511~0.894,P=0.003)。结论 循证护理可以有效促进感染倾向患者的恢复。

     

    Abstract: OBJECTIVE To explore the effectiveness of evidence-based nursing in recovery of abdominal aortic aneurysm patients at risk of infection following stent implantation. METHODS A total of 57 patients with abdominal aortic aneurysm who received stent implantation and tended to have postoperative infections in department of vascular surgery of The First Medical Center of Chine PLA General Hospital from Oct. 2022 to Oct. 2025 were recruited as the research subjects. The enrolled patients were divided into the conventional nursing group with 30 cases and the evidence-based nursing group with 27 cases according to the postoperative nursing mode. The baseline data were compared between the two groups of patients. Weighted logistic analysis was performed to analyze the effectiveness of the evidence-based nursing in recovery of postoperative tendency to infection. RESULTS The rat of excellent sputum excretion of the evidence-based nursing group was 96.30%, higher than that of the conventional nursing group (P<0.05); the off-bed time for walking of the evidence-based nursing group was (19.06±2.25)hours, earlier than that of the conventional nursing group (P<0.05); the antimicrobial therapy duration and the length of hospital stay of the evidence-based nursing group were respectively (2.25±0.05) days and (7.69±1.25) days, shorter than those of the conventional nursing group (both P<0.05). After the related confounding factors were adjusted, the evidence-based nursing was a protective factor for the antimicrobial therapy duration (OR=0.774, 95%CI: 0.511 to 0.894, P=0.003). CONCLUSION The evidence-based nursing can effectively facilitate the recovery of the patients at risk of infections.

     

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