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目的通过肺部感染预警评估表促进医护人员、患者及家属对围手术期呼吸道管理措施的落实,降低患者术后肺部感染率。方法选择医院2015年1月-8月未使用术后肺部感染预警评估表的3918例患者为对照组。将2015年9月-2016年4月3 863例使用术后肺部感染预警评估表的患者设为试验组,比较两组患者感染率。结果实施术后肺部感染预警评估后,护理人员对围手术期肺部感染的风险预警意识增强,使呼吸道管理护理措施落实合格率由51.7%提高至73.5%;肺部感染率由1.42%降低至0.62%,与使用前相比差异有统计学意义(P<0.05)。结论使用肺部感染预警评分表可有效降低患者围手术期肺部感染发生率,提高围手术期护理质量,值得推广应用。
Objective To promote the implementation of perioperative respiratory management measures by medical staff, patients and their families through the assessment table of early warning of pulmonary infection, and to reduce the postoperative pulmonary infection rate. Methods A total of 3918 patients without acute postoperative pulmonary infection in the hospital from January to August 2015 were selected as the control group. From September 2015 to April 2016, 3 863 patients who used the postoperative assessment of early warning of pulmonary infection were selected as the experimental group, and the infection rate was compared between the two groups. Results After the preoperative evaluation of postoperative pulmonary infection, nurses’ awareness of the risk of perioperative pulmonary infection increased and the compliance rate of respiratory management nursing measures increased from 51.7% to 73.5%. The rate of lung infection decreased from 1.42% To 0.62%, compared with before use, the difference was statistically significant (P <0.05). Conclusion The use of early warning score table of pulmonary infection can effectively reduce the incidence of perioperative pulmonary infection and improve perioperative nursing quality, which is worth popularizing and applying.