摘要
目的评价整体护理在降低脑室外引流术后颅内感染发生率中的效果。方法选择2009--2011年南京医科大学附属无锡市第二人民医院行脑室外引流术的234例患者为研究对象。第一阶段（2009年，82例患者）未实行整体护理；第二阶段（2010年，79例患者）根据脑室外引流术后出现颅内感染的影响因素，采用包括手术医师、床位医师及专科护士在内的团队系统化护理整体护理；第三阶段（2011年，73例患者）在第二阶段应对措施基础上增加了将脑室引流管更换为抗菌管。比较三个阶段患者颅内感染的发生率。结果第一、二、三阶段颅内感染的发生率分别为13．49％，3．8％，1．49％。第二、三阶段与第一阶段相比，颅内感染发生率明显下降，差异有统计学意义（χ2值分别为4．687，7．844；P〈0．05），第三阶段与第二阶段颅内感染发生率比较，差异无统计学意义（X。=0．837，P=0．357）。结论整体护理可降低脑室外引流术后患者颅内感染发生率，在临床工作中有一定的实际操作价值。
Objective To evaluate the effect of comprehensive nursing in reducing the rate of intracranial infection after external ventricular drainage. Methods Total of 234 cases of patients after external ventrieular drainage were chosen. In the first phase of 2009, 82 patients did not receive comprehensive nursing. In the second phase of 2010, 79 patients received comprehensive nursing provided by a group including physicians, doctors and professional nurses according to the influencing factors of intracranial infection after external ventricular drainage. In the third phase of 2011, 79 patients replaced ventricular drainage tube with antibiotic tube in addition to second phase. The rates of intracranial infection in 3 phases were compared. Results In the first phase, 11 patients had intracranial infection, with the rate of 13.4%. In the second phase, 3 had intracranial infection, with the rate of 3. 8%. In the third phase, 1 had intraeranial infection, with the rate of 1.4%. Compared with the first phase, rates in the second and third phase were much lower, and the differences were statistically significant （χ2 = 4. 687, 7. 844, respectively; P 〈 0. 05）. Conclusions Comprehensive nursing can reduce the rate of intracranial infection after external ventricular drainage and has some practical value in clinical nursing.
出处
《中华现代护理杂志》
2013年第2期157-159,共3页
Chinese Journal of Modern Nursing
关键词
整体护理
脑室外引流
颅内感染
Holistic nursing
External ventricular drainage
Intracranial infection
