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研究呼吸护理对急性左心力衰竭患者预防院内呼吸道感染的影响

作者:贾英岚

所属单位:郑州大学第一附属医院急诊内科 (河南 郑州 450052)

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摘要

目的 探讨呼吸护理对急性左心力衰竭患者预防院内呼吸道感染的影响。方法 选取2017年2月-2018年2月期间我院 心血管内科收治的60例急性左心力衰竭患者,根据患者护理方法不同分为观察组和对照组,每组患者各30例,对照 组予以常规护理,观察组在对照组基础上予以呼吸护理,观察两组患者呼吸道感染情况及护理满意度。结果 观察 组患者10.00%的院内感染率及13.33%痰菌培养阳性率显著低于对照组的33.33%、36.67%(P<0.05);观察组患者非 常满意率及满意度分别为66.67%、96.67%显著高于对照组的36.67%、80.00%(P<0.05)。结论 呼吸护理可有效的减 少急性左心力衰竭患者院内呼吸道感染的发生和提高患者护理满意度,值得推广。

Objective To investigate the effect of respiratory care in the prevention of hospital acquired respiratory infection in patients with acute left heart failure. Methods 60 cases with acute left heart failure in our hospital from Feb. 2017 to Feb. 2018 were selected and divided into the observation group and control group, 30 cases in each group, the control group was given routine nursing care, the observation group was given respiratory care on this basis, compare the respiratory tract infections and nursing satisfaction between the two groups. Results The hospitality infection ratio and sputum culture positive rate of the observation group (10.00%, 13.33%) were significantly lower than those of the control group (33.33%, 36.67%)(P<0.05), the very satisfied rate and satisfaction degree of the observation group (66.67%, 96.67%) were significantly higher than those of the control group (36.67%, 80.00%)(P<0.05). Conclusion The application of respiratory care can effectively reduce the occurrence of respiratory tract infection and improve the nursing satisfaction of patients, it is worhty of wide promotion.

【关键词】呼吸护理;急性左心力衰竭;院内呼吸道感染

【中图分类号】R473.5;R541.6

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2019.01.016

前言

左心力衰竭指的是出现各种原因引起的急性心肌 收缩能力降低和心脏负荷显著增加致使心排血量降 低、肺循环压力上升的一种临床综合征[1],临床症状 有呼吸困难、急性肺水肿、心源性休克和昏厥等,以 呼吸困难为其主要表现,急性心力衰竭是心血管内科 常见急危重症,病程进展迅速,确诊后需及时治疗, 急性心力衰竭的治疗过程中易发生呼吸道感染对患 者的治疗效果产生影响[2],因此需要护士对医师的诊 断结果进行积极的配合和做好护理,本次笔者对我院 2017年2月~2018年2月期间我院心血管内科收治的急 性左心力衰竭患者进行呼吸护理,现将其结果报道如 下。