多准则决策分析法对骨折患者肺部感染的影响.docVIP

多准则决策分析法对骨折患者肺部感染的影响 吴洪霞 赵君静 李欣欣 王光敏 李梅 山东省滨州市中心医院护理部 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 研究多准则决策分析法对住院骨折患者肺部感染的影响。方法 选取2013年6月-2016年5月于医院接受治疗的168例住院骨折患者, 按治疗时间分为两组, 于2013年6月-2014年11月接受治疗的87例住院骨折患者为常规组, 于2015年12月-2016年5月接受治疗的81例住院骨折患者为试验组, 常规组采用常规的治疗与干预方法, 试验组采用多准则决策分析法为患者建立集束化干预策略;统计两组患者感染率, 分析感染患者的病原菌分布, 分析比较两组机械通气时间、治疗依从性、治疗中不良事件发生率及医护人员操作规范程度。结果 常规组感染19例感染率为21.83%, 高于试验组感染9例感染率为11.11% (P0.05) ;28例感染患者分离出168株病原菌, 以革兰阴性菌为主, 共141株占83.93%;试验组患者的机械通气时间、治疗依从性、不良事件发生率及操作规范程度均优于常规组患者 (P0.05) 。结论 利用多准则决策分析法所做出的集束化干预策略对住院骨折患者的肺部感染有着较好的预防作用, 通过科学决策制定较有效的干预策略, 提高医护人员治疗操作规范程度, 减少不良事件发生率, 提高患者治疗依从度, 最终达到降低住院骨折患者的肺部感染率的目的。 关键词： 多准则决策分析法; 骨折; 肺部感染; 收稿日期：2017-07-11 Effect of multiple criteria decision analysis on pulmonary infections in patients with fracture WU Hong-xia ZHAO Jun-jing LI Xin-xin WANG Guang-min LI Mei Binzhou Central Hospital; Abstract： OBJECTIVE To explore the effect of multiple criteria decision analysis on pulmonary infections in hospitalized patients with fracture.METHODS A total of 168 cases of patients with fracture from Jun.2013 to May 2016 in our hospital were selected for this research, and were divided into two groups according to the treatment time.The 87 cases of hospitalized fracture patients treated from Jun.2013 to Nov.2014 were set as conventional group, and 81 cases of hospitalized fracture patients treated from Dec.2015 to May 2016 were set as experimental group.Patients in conventional group were received treatment and routine nursing, and in experimental group were used multi-criteria decision analysis method to establish the cluster intervention strategies for patients.The infection rate of the two groups of patients were collected and analyzed, and the distribution of pathogenic bacteria in infected patients was analyzed.The mechanical ventilation time, treatment compliance, adverse events during treatment, and the occurrence degree of standard operation of medical staff between the