精准护理在神经外科多重耐药菌感染控制中的应用.docVIP

精准护理在神经外科多重耐药菌感染控制中的应用 　　摘要：目的 探讨精准护理在神?外科多重耐药菌感染控制中的应用。方法 2014年3月～2015年2月在神经外科住院的多重耐药菌感染患者有124例，为对照组，2015年3月～2016年2月在神经外科住院的多重耐药菌感染患者192例，为观察组；对照组给予传统护理方法，对观察组患者采取一系列有针对性的精准护理措施，包括加强MDRO知识宣传教育、提高医务人员手卫生意识、采取正确的隔离防范措施等。然后对对照组和观察组感染情况进行对比分析，评价神经外科多重耐药菌感染控制效果。结果 观察组与对照组的肿瘤多重耐药菌感染控制率分别为74.50% （143/192）和45.2% （56/124），组间对比差异有统计学意义（P0.05）。观察组的病人肺部感染、颅内感染、尿路感染等发生情况明显少于对照组（P0.05）。观察组的病人住院时间为（39.43±6.39）d，而对照组分别为（53.04±16.45）d，组间对比（P0.05）。结论 相对传统护理方法，精准护理能更好控制神经外科多重耐药菌感染，从而缩短患者住院时间，促进患者康复。 　　关键词：精准护理；神经外科；多重耐药菌 　　Application of Precision Nursing in the Control of Multi-drug Resistant Bacteria Infection in the Department of Neurosurgery 　　SUN Cui，LI Li，WANG Dong-mei，YANG Wen-jiao 　　（Department of Neurosurgery，Shiyan Taihe Hospital/The Affiliated Hospital of Hubei Medical College，Shiyan 442000，Hubei，China） 　　Abstract：Objective Discuss the Application which of precision nursing in the control of multi-drug resistant bacteria infection in the department of neurosurgery. Methods 124cases admitted as control group between March，2014 and February，2015 in our department were investigated and apply traditional nursing to them.192 such cases were investigated as observation group， and they were given precision care， including strengthen the propaganda and the education of MDRO， improve the hospital staffs awareness of hand hygiene， and take correct quarantine measures， ect. Contrast and analyse the infection between the control group and observation group， and evaluate the effect of controlling the multiple resistant bacteria. Results The controlling rate of multiple resistant bacteria in observation group is 74.50%（143/192），and in control group is 45.2%（56/124），showing a significant difference between each group（P0.05）.The observation groups patients lung infection， intracal infection and urinary tract infection cases are significantly less than the control group （P0.05）.The time in hospital of observation group are 39.43±6.39，and the control group are 53.04±16.45.There is