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  • 臨床護理路徑干預措施在預防高齡患者肝內外膽管結石手術肺部感染中的應用效果

臨床護理路徑干預措施在預防高齡患者肝內外膽管結石手術肺部感染中的應用效果

作者:未知

  [摘要]目的 探討臨床護理路徑干預措施在預防高齡患者肝內外膽管結石手術肺部感染中的應用效果。方法 選取2017年5月~2018年5月在本院接受治療的60例高齡肝內外膽管結石患者作為觀察對象,按照隨機數字表法分為對照組(30例)與觀察組(30例)。觀察組患者采用臨床護理路徑形式的護理干預措施,對照組患者采用常規護理。比較兩組患者的肺部感染發生情況以及住院時間。結果 觀察組患者的肺部感染發生率明顯低于對照組,差異有統計學意義(P<0.05);觀察組患者的住院時間明顯短于對照組,差異有統計學意義(P<0.05)。結論 在高齡肝內外膽管結石患者手術中,加強患者圍術期的綜合護理干預措施,不僅可以有效縮短患者的住院時間,還可以有效減少肺部感染的發生,效果較好,值得應用。
  [關鍵詞]護理干預;肺部感染;肝內外膽管結石;高齡患者
  [中圖分類號] R473.6          [文獻標識碼] A          [文章編號] 1674-4721(2019)8(b)-0196-03
  [Abstract] Objective To investigate the application effect of clinical nursing pathway intervention measures in preventing pulmonary infection in elderly patients undergoing intrahepatic and extrahepatic biliary calculi surgery. Methods Sixty elderly patients with intrahepatic and extrahepatic biliary calculi treated in our hospital from May 2017 to May 2018 were selected as observation objects and they were divided into the control group (30 cases) and observation group (30 cases) according to random number table method. Nursing intervention measures in the form of clinical nursing pathway were adopted in the observation group, while routine nursing was adopted in the control group. The incidence of pulmonary infection and hospitalization time were compared in patients between the two groups. Results The incidence of pulmonary infection in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). The hospitalization time in the observation group was significantly shorter than that in the control group, and the difference was statistically significant (P<0.05). Conclusion For elderly patients after intrahepatic and extrahepatic biliary calculi surgery, strengthening the comprehensive nursing intervention measures of patients during perioperative period can not only effectively shorten the hospitalization time of patients, but also effectively reduce the incidence of pulmonary infection. The effect is good, and it is worth applying.
  [Key words] Nursing intervention; Pulmonary infection; Advanced age; Intrahepatic and extrahepatic biliary calculi; Elderly patients
  隨著社會生活水平的不斷提高,人類的壽命也普遍有所延長,這也造成年齡≥65歲的膽管結石并患者數量顯著增加。相關調查結果顯示,在年齡>60歲的老年人群中,膽管疾病的患病率在24%左右[1],另外,針對高齡患者,其經常會伴有各種慢性疾病,如糖尿病、高血壓等,當其采取手術治療后,因機體遭受破壞,便會出現許多病理改變,受此影響,極易損傷其他器官系統,使其發生各種病變[2]。鑒于此,加強對高齡膽管結石病患者圍術期的護理干預,在保證患者的治療效果,提高其生活質量方面具有重要意義。國內外均有關于高齡肝內外膽管結石手術相關護理的研究和報道,但是在預防感染方面依然需要進一步研究。本研究選取60例高齡肝內外膽管結石患者作為臨床觀察對象,詳細分析了臨床護理干預在降低患者肺部感染中的應用價值,現報道如下。   [參考文獻]
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  (收稿日期:2018-08-09  本文編輯:許俊琴)
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