溃疡性结肠炎经糖皮质激素治疗后并发感染的护理措施探讨.doc

溃疡性结肠炎经糖皮质激素治疗后并发感染的护理措施探讨 [摘要] 目的：探讨溃疡性结肠炎经糖皮质激素治疗后并发感染的临床护理措施。方法：选取2010年3月至2012年3月期间我院收治的溃疡性结肠炎经糖皮质激素治疗后并发感染患者55例，将其作为研究对象，分成2组，新型护理组(n=33)和一般护理组(n=22)，对新型护理组应用本院针对此类患者的新型护理措施，对一般护理组应用一般护理措施，观察两组患者感染控制情况，抗生素使用时间、住院时间以及主观幸福感。结果：感染控制情况中，新型组显效率(33.33%)以及总有效率(90.90%)均高于一般组(9.90%，50.00%)，统计学有意义(P0.05)；新型组抗生素使用时间(5.6±1.3)d和住院时间(7.5±1.6)d均少于一般组[(7.1±1.7)d，(8.6±1.7)d]，统计学有意义(P0.05)；MUN-SN评定结果为新型组总分(13.66±4.26)和正性因子(17.44±3.27)均高于一般组(6.70±3.03，10.33±4.27)，统计学有意义(P0.05)。结论：新型护理措施有助于此类并发感染的恢复，可以加强对感染的控制、缩短抗生素的使用时间和住院时间，患者对于护理的态度也较为满意，是一种良好护理措施。 [关键词] 溃疡性结肠炎；糖皮质激素；感染；新型护理 To discuss nursing measure for ulcerative colitis which accompanying infection after the glucocorticoid treatment Abstract objectives:To discuss clinical nursing measure for ulcerative colitis which accompanying infection after the glucocorticoid treatment. Methods: Chose 55 cases of patients who suffered from ulcerative colitis accompanying infection after the glucocorticoid treatment and have been accepted and treated at our hospital from March 2010 to March 2012 as study objectives, divided them into two groups, namely new nursing group(n=33) and general nursing group(n=22),gave new nursing measure which aimed at this kind of patients to those who in new nursing group,while just gave general nursing measure to those who in general nursing group,observed these two groups patients infection control situations, use time of antibiotic,time of hospital stays and subjective well-being. Results:With regard to infection control situations,new groups significant efficiency(27.27%) and overall effective rate(84.85%) are higher than general groups(13.64%，68.18%),it has statistics meaning(p0.05);New groups antibiotic use time (5.6±1.3)d and hospital stays time (7.5±2.1)d are less than general groups [(7.1±1.7)d，(8.6±2.4)d],it also has statistics meaning(p0.05);New groups total points (13.66±4.26) and positive factor (17.44±3.27) are higher than general groups (6.70±5.03，10.33±4.27) after the MUN-SN evaluation resul