喉癌手术后气管切开下呼吸道感染护理研究.docVIP

喉癌手术后气管切开下呼吸道感染护理研究 　　[摘要] 目的 探讨喉癌术后气管切开预防下呼吸道感染的护理方法。方法 选取喉癌术后气管切开患者70例，随机分为两组，其中对照组33例，观察组37例。对照组患者实施常规护理，观察组患者实施循证护理，对两组患者相关护理指标进行评价。结果 观察组患者下呼吸道感染率明显低于对照组，并发症发生率明显低于对照组，吞咽功能恢复时间及住院时间均明显短于对照组；经过治疗和干预，两组患者的SF-36量表较治疗前均有明显提高，且观察组患者提高更为明显；观察组对护理感到非常满意和满意的患者均明显多于对照组（P0.05）。结论对喉癌术后气管切开患者实施循证护理，可有效预防下呼吸道感染发生，促进患者康复，改善患者生活质量。 　　[关键词] 喉癌手术；气管切开；下呼吸道感染；护理 　　[中图分类号] R473.73[文献标识码] B[文章编号] 1673-9701（2014）18-0075-04 　　 　　Nursing of lower respiratory tract infection in tracheotomy laryngeal carcinoma after operation 　　ZHANG Jinlan1 WANG Weihang2 　　1.Department of ENT of Taizhou Hospital in Zhejiang Province, Linhai 317000，China; 2.Department of Infection， Second Peoples Hospital of Nanchang，Nanchang 415000，China 　　[Abstract] Objective To study the prevention of postoperative laryngeal cancer tracheotomy nursing method of lower respiratory tract infection. Methods The laryngeal cancer patients after tracheotomy in patients with 70 cases， were randomly divided into two groups， including 33 cases in the control group， the observation group of 37 cases. The control group were given routine care， observation group were given evidence-based care patients， please two group of patients to evaluate the nursing satisfaction. Results The observation group was significantly lower than the control group of patients with lower respiratory tract infection， the complication rate was significantly lower than the control group，swallowing function recovery time and hospital stay were significantly shorter than the control group; After treatment and intervention，two groups of patients with SF-36 scale were significantly improved than before treatment， and the patients in the observation group improved more obviously; the observation group of patients for nursing very satisfied andsatisficers were higher than the control group（P 0.05）. Conclusion The postoperative laryngeal cancer patients with tracheotomy implementation of evidence-based nursing can effectively prevent the occurrence o