规范化护理在多重耐药菌感染患者中的实施效果.docVIP

规范化护理在多重耐药菌感染患者中的实施效果 　　[摘要]目的 探?规范化护理在多重耐药菌感染患者中的实施效果。方法 选择2011年1月～2014年12月在赣南医学院第一附属医院呼吸科住院、符合下呼吸道感染诊断且痰培养两次以上细菌呈阳性、均使用细菌敏感的抗生素治疗的120例住院患者。选取2011年1月～2012年12月住院患者经过筛查符合条件的患者78例为对照组，从2013年1月开始我科针对呼吸道多重耐药菌感染的患者实施规范化护理管理模式，选取2013年1月～2014年12月住院患者，经过筛查符合条件的患者共42例为观察组，比较两组的实施效果。结果 观察组患者转归情况、一般情况、痰检情况均优于对照组，多重耐药菌发生率低于对照组，手卫生执行率及患者满意度高于对照组，抗生素使用天数、住院天数短于对照组，住院费用低于对照组，差异有统计学意义（P0.05）。结论 规范化护理管理能够减少多重耐药菌感染患者住院天数，提高多重耐药菌感染痰培养转阴率，缩短患者使用抗生素的平均天数，减少住院费用，有利于改善患者一般情况，促进患者转归，提高患者的满意度，降低多重耐药菌的发生率、提高医护人员手卫生执行率，值得临床推广应用。 　　[关键词]规范化护理；多重耐药菌感染；效果 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2017）08（c）-0147-04 　　[Abstract]Objective To explore the efficacy of standardized nursing on patients with multi-drug resistant bacteria infection.Methods 120 patients treated in the Department of Pneumology in Gannan Medical College First Affiliated Hospital from January 2011 to December 2014，who were diagnosed with lower respiratory infection with more than twice positive results of sputum culture and treated by bacteria-sensitive antibiotics were selected.78 hospitalized patients （January 2011 to December 2012） meeting the inclusion criteria were divided into the control group，and 42 patients （January 2013 to December 2014） were divided into the observation group as standardized nursing had been conducted since January 2013 among patients with multi-drug resistant bacteria infection in respiratory tract.The implementation effect of two groups were compared.Results The general condition of patients，outcome of patients and sputum culturing results in the observation group were all significantly better than those in the control group，the incidence rate of multi-drug resistant bacteria lower than that in the control group，the satisfaction of patients and hand sanitation execution rate were higher than those in the control group，the number of days of antibiotics application and hospital days were shorter than those the control group，the hospital costs was less than that in the control group，and the