集束化护理对胃十二指肠穿孔术后肺部感染患者预后的影响(1)
【摘要】 目的：探討集束化护理对胃、十二指肠穿孔术后肺部感染患者预后的影响。方法：选取2015年6月-2017年6月本院住院部收治的胃、十二指肠穿孔术后肺部感染患者88例。采用数字表分组法将其分为对照组和观察组，各44例。两组均给予基础性治疗，在此基础上，对照组患者采用常规护理，观察组患者采用集束化护理。比较两组干预后肺部感染好转时间，气管留置时间、住ICU时间、肺功能指标及疗效情况。结果：干预后，观察组患者肺部感染时间、气管留置时间及住ICU时间均明显少于对照组，比较差异均有统计学意义(P<0.05)；观察组总有效率为95.45%(42/44)，高于对照组的77.27%(34/44)，比较差异有统计学意义(字2=6.175，P=0.013)；不同护理干预后，观察组患者FEV1、PEER、VC和FVC均高于对照组，比较差异均有统计学意义(P<0.05)。结论：集束化护理能有效缩短胃、十二指肠穿孔术后患者肺部感染时间、气管留置时间及住ICU时间，提高临床疗效，从而改善患者预后，值得临床推广。
【关键词】 胃十二指肠穿孔； 集束化护理； 肺部感染； 预后
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Effect of Cluster Nursing on Prognosis of Patients with Pulmonary Infection after Gastroduodenal Perforation Operation/LU Cijun，PENG Jinfeng，HUANG Langchao，et al.//Medical Innovation of China，2018，15(13)：099-102
【Abstract】 Objective：To analyze the influence of cluster nursing on prognosis of patients with pulmonary infection after gastroduodenal perforation operation.Method：A total of 88 patients with pulmonary infection after gastroduodenal perforation operation from June 2015 to June 2017 in our hospital were selected.According to the digital table grouping method，they were divided into control group and observation group，44 cases in each group.They were given basic treatment，on this basis，the control group received routine nursing，while observation group received cluster nursing.The improvement time of pulmonary infection，tracheal indwelling time，ICU duration，pulmonary function and curative effect after intervention between two groups were compared.Result：After intervention，the improvement time of pulmonary infection，tracheal indwelling time，ICU duration in observation group were significantly less than those of control group，the differences were statistically significant(P<0.05).The total effective rate of observation group was 95.45%(42/44)，which was higher than 77.27%(34/44) of control group，the difference was statistically significant(字2=6.175，P=0.013).After intervention，the FEV1，PEER，VC and FVC of observation group were all higher than those of control group，the differences were statistically significant(P<0.05).Conclusion：Cluster nursing can effectively shorten the time of lung infection，tracheal indwelling time and ICU duration of patients with pulmonary infection after gastroduodenal perforation operation，improve the clinical efficacy，thereby improving the prognosis of patients，it is worthy of clinical promotion.
【Key words】 Gastroduodenal perforation； Cluster nursing； Pulmonary infection； Clinical prognosis
First-author’s address：Xinyi People’s Hospital，Xinyi 525300，China, 百拇医药(陆慈军 彭金凤 黄浪潮 李凤群 舒彩琴 尹彩)
【关键词】 胃十二指肠穿孔； 集束化护理； 肺部感染； 预后
, http://www.100md.com
Effect of Cluster Nursing on Prognosis of Patients with Pulmonary Infection after Gastroduodenal Perforation Operation/LU Cijun，PENG Jinfeng，HUANG Langchao，et al.//Medical Innovation of China，2018，15(13)：099-102
【Abstract】 Objective：To analyze the influence of cluster nursing on prognosis of patients with pulmonary infection after gastroduodenal perforation operation.Method：A total of 88 patients with pulmonary infection after gastroduodenal perforation operation from June 2015 to June 2017 in our hospital were selected.According to the digital table grouping method，they were divided into control group and observation group，44 cases in each group.They were given basic treatment，on this basis，the control group received routine nursing，while observation group received cluster nursing.The improvement time of pulmonary infection，tracheal indwelling time，ICU duration，pulmonary function and curative effect after intervention between two groups were compared.Result：After intervention，the improvement time of pulmonary infection，tracheal indwelling time，ICU duration in observation group were significantly less than those of control group，the differences were statistically significant(P<0.05).The total effective rate of observation group was 95.45%(42/44)，which was higher than 77.27%(34/44) of control group，the difference was statistically significant(字2=6.175，P=0.013).After intervention，the FEV1，PEER，VC and FVC of observation group were all higher than those of control group，the differences were statistically significant(P<0.05).Conclusion：Cluster nursing can effectively shorten the time of lung infection，tracheal indwelling time and ICU duration of patients with pulmonary infection after gastroduodenal perforation operation，improve the clinical efficacy，thereby improving the prognosis of patients，it is worthy of clinical promotion.
【Key words】 Gastroduodenal perforation； Cluster nursing； Pulmonary infection； Clinical prognosis
First-author’s address：Xinyi People’s Hospital，Xinyi 525300，China, 百拇医药(陆慈军 彭金凤 黄浪潮 李凤群 舒彩琴 尹彩)