摘要
目的探讨风险评估单在快速筛选胸腰椎手术后肺部感染高危患者中的作用。方法选取2014年3月~2015年5月行胸腰椎手术的93例患者作为观察组,与相关科室高年资医生探讨胸腰椎手术后发生肺部感染的高危因素,设计风险评估单和高危患者护理干预表。护士根据不同评估结果分别实施针对性的护理干预措施。同时回顾调查2012年8月~2014年2月胸腰椎手术的91例患者作为对照组。观察两组患者住院期间肺部感染率发生情况。结果观察组在术后使用了肺部感染风险评估单肺部感染发生率为4.30%(4/93),明显是低于对照组的13.18%(12/91),差异有统计学意义(Х~2=4.55,P<0.05)。结论胸腰椎手术后肺部感染风险评估单的设计和应用,增强了临床护士对胸腰椎术后肺部感染的评估监测能力和风险防范能力,促进了护理工作的规范化、精细化和专业化,为进一步提高专科护理水平找到新途径。
Objective Discuss risk assessment in rapid screening of thoracolumbar alone the role of surgery in patients at high risk of lung infection.Methods Selection in March2014-May2015lines of93patients of thoracolumbar surgery as observation group,and the related departmenthigh qualification doctor to explore risk factors of pulmonary infection in the aftermath of the thoracolumbar surgery,single design risk assessmentand nursing intervention in high-risk patients.According to different evaluation results to implement targeted nursing intervention measures.At thesame time review from August2012to February2014,91patients of thoracolumbar surgery as the control group.Observe two groups during hospitalizationin patients with lung infection occurred.Results Observation group used in postoperative pulmonary infection risk assessment form the incidenceof pulmonary infection was4.30%(4/93),obviously is lower than the control group13.18%(12/91).The difference was statistically significant(c2=4.55,P<0.05).Conclusion Thoracolumbar single lung infection after the operation risk assessment of the design and application,to enhancethe clinical nurses to evaluate thoracolumbar postoperative pulmonary infection monitoring ability and the ability to prevent risks,promote thestandardization and refinement of nursing work and specialization,to find new ways to further improve the level of nurse.
作者
胡建华
谢琰
李勇
Hu Jian-hua;Xie Yan;Li Yong(Jiangxi university of traditional Chinese medicine hospital bone second division, Nanchang, Jiangxi, 330006, China;Jiangxi university of traditional Chinese medicine hospital nurses, Nanchang, Jiangxi, 330006, China)
出处
《当代医学》
2017年第32期104-107,共4页
Contemporary Medicine
关键词
高龄
胸腰椎术后
风险评估
肺部感染率
Old age
Thoracolumbar surgery
Risk assessment
Lung infection
