护理干预在妇产科手术术后患者肺部感染预防中的应用效果(1)
[摘要]目的 探讨护理干预在妇产科术后患者肺部感染预防中的应用效果。方法 选取2016年2月～2017年4月在我院妇产科就诊并接受手术治疗的108例患者作为研究对象，根据随机数字表法分为研究组和对照组，每组各54例。研究组予以综合护理干预措施，对照组予以常规护理措施，比较两组患者术后肺部感染率的发生率及对护理质量的满意度。结果 研究组患者肺部感染发生率为7.41%，对照组患者肺部感染发生率为25.93%，差异有统计学意义(P<0.05)；研究组患者护理总满意度为92.59%，明显高于对照组(72.22%)，差异有统计学意义(P<0.05)。结论 妇产科术后患者予以护理干预可有效预防肺部感染的发生，并提高患者对护理服务工作的满意度，值得临床借鉴。
[关键词]妇产科；护理干预；肺部感染；护理效果
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2017)12(a)-0166-03
[Abstract]Objective To investigate the effect of nursing intervention on prevention of pulmonary infection after gynecological operation.Methods From February 2016 to April 2017，108 cases received surgical treatment in the Department of gynaecology and obstetrics our hospital as the research object，according to the random number expression of 108 patients were randomly divided into study group and control group，54 cases in each group.The study group was given comprehensive nursing intervention，the control group was given routine nursing measures，occurrence the rate of pulmonary infection rate were compared between two groups after operation and satisfaction of nursing quality.Results The incidence rate of the study group was 7.41%，and in the control group，the incidence rate of pulmonary infection was 25.93% .The incidence of pulmonary infection in the study group was significantly lower than the control group，data statistically significant difference(P<0.05)；nursing satisfaction of patients in the study group (92.59%) was significantly higher than the control group patients nursing satisfaction(72.22%)，with statistical significance the difference of data (P<0.05).Conclusion Nursing intervention can effectively prevent the occurrence of pulmonary infection in obstetrics and gynecology operation，and effectively improve the patient′s satisfaction with the nursing service.It is worth clinical reference.
[Key words]Obstetrics and gynecology；Nursing intervention；Pulmonary infection；Nursing effect
肺部感染是大手術后常见的并发症，一般多见于老年人、小孩及免疫力低下的手术患者，发生率为2%～20%。患者肺部感染后不仅延长住院时间，增加经济负担，还严重危害患者的健康和生命[1-2]。以往研究报道表明，术后患者予以护理干预，可使患者肺部感染的危险因素减少，从而降低患者术后肺部感染的发生率，缩短患者住院时间，减少住院费用，使患者对医院护理服务的满意度提高，这在临床治疗起到了积极作用，但关于其具体护理模式的选定尚还存在着争议[3-5]。本文通过对照研究的方式，探讨护理干预在妇产科术后患者肺部感染预防中的应用效果，现报道如下。
1资料与方法
1.1一般资料
选取2016年2月～2017年4月在我院妇产科就诊并接受手术治疗的108例患者为研究对象，经医院医学伦理委员会批准，患者及患者家属对本研究知情并签署同意书者。纳入标准：①均在腰硬联合麻醉下手术治疗；②无合并心、肝、肾等重要脏器损伤者；③年龄26～68岁。排除标准：①意识障碍者；②一般资料及临床资料不完整者；③妊娠期或哺乳期妇女；④术前合并肺部感染及泌尿系感染者。根据随机数字表法分为研究组和对照组，每组各54例。研究组患者年龄26～67岁，平均(47.49±4.21)岁；体重42～73 kg，平均(56.84±12.20)kg。对照组患者年龄26～68岁，平均(48.14±4.94)；体重43～74 kg，平均(57.84±12.71)kg。两组患者的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(王丽净)
[关键词]妇产科；护理干预；肺部感染；护理效果
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2017)12(a)-0166-03
[Abstract]Objective To investigate the effect of nursing intervention on prevention of pulmonary infection after gynecological operation.Methods From February 2016 to April 2017，108 cases received surgical treatment in the Department of gynaecology and obstetrics our hospital as the research object，according to the random number expression of 108 patients were randomly divided into study group and control group，54 cases in each group.The study group was given comprehensive nursing intervention，the control group was given routine nursing measures，occurrence the rate of pulmonary infection rate were compared between two groups after operation and satisfaction of nursing quality.Results The incidence rate of the study group was 7.41%，and in the control group，the incidence rate of pulmonary infection was 25.93% .The incidence of pulmonary infection in the study group was significantly lower than the control group，data statistically significant difference(P<0.05)；nursing satisfaction of patients in the study group (92.59%) was significantly higher than the control group patients nursing satisfaction(72.22%)，with statistical significance the difference of data (P<0.05).Conclusion Nursing intervention can effectively prevent the occurrence of pulmonary infection in obstetrics and gynecology operation，and effectively improve the patient′s satisfaction with the nursing service.It is worth clinical reference.
[Key words]Obstetrics and gynecology；Nursing intervention；Pulmonary infection；Nursing effect
肺部感染是大手術后常见的并发症，一般多见于老年人、小孩及免疫力低下的手术患者，发生率为2%～20%。患者肺部感染后不仅延长住院时间，增加经济负担，还严重危害患者的健康和生命[1-2]。以往研究报道表明，术后患者予以护理干预，可使患者肺部感染的危险因素减少，从而降低患者术后肺部感染的发生率，缩短患者住院时间，减少住院费用，使患者对医院护理服务的满意度提高，这在临床治疗起到了积极作用，但关于其具体护理模式的选定尚还存在着争议[3-5]。本文通过对照研究的方式，探讨护理干预在妇产科术后患者肺部感染预防中的应用效果，现报道如下。
1资料与方法
1.1一般资料
选取2016年2月～2017年4月在我院妇产科就诊并接受手术治疗的108例患者为研究对象，经医院医学伦理委员会批准，患者及患者家属对本研究知情并签署同意书者。纳入标准：①均在腰硬联合麻醉下手术治疗；②无合并心、肝、肾等重要脏器损伤者；③年龄26～68岁。排除标准：①意识障碍者；②一般资料及临床资料不完整者；③妊娠期或哺乳期妇女；④术前合并肺部感染及泌尿系感染者。根据随机数字表法分为研究组和对照组，每组各54例。研究组患者年龄26～67岁，平均(47.49±4.21)岁；体重42～73 kg，平均(56.84±12.20)kg。对照组患者年龄26～68岁，平均(48.14±4.94)；体重43～74 kg，平均(57.84±12.71)kg。两组患者的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(王丽净)