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目的对分级护理制度对重症监护病房(ICU)重度颅脑损伤并发下呼吸道感染患者的临床应用效果进行观察分析。方法选取2015年3月至2016年3月我院收治的90例重症监护病房重度颅脑损伤并发下呼吸道感染患者作为研究对象,按照患者入ICU病房的顺序分为观察组(45例)与对照组(45例),对照组患者采取ICU常规基础护理,观察组患者采取分级护理制度,比较两组患者临床护理情况(满意度、感染发生情况、入住ICU时间及住院时间等)。结果观察组患者基础护理、专业技能、病房管理、护理文化以及健康宣教评分情况相较于对照组效果更佳,P<0.05;重症监护病房入住时间(6.14±1.62)d、感染发生率17.78%、住院时间(25.43±6.47)d及病死率17.78%明显低于对照组,P<0.05;观察组患者护理非常满意57.78%、总满意97.78%均优于对照组35.56%、35.56%,P<0.05。结论分级护理制度在重症监护病房重度颅脑损伤并发下呼吸道感染患者的临床应用能偶有效降低患者住院时间,提高护理质量及护理人员的工作效果,值得推广应用。
Objective To evaluate the clinical effect of grading nursing system on intensive care unit (ICU) patients with severe craniocerebral injury complicated with lower respiratory tract infection. Methods From March 2015 to March 2016, 90 patients with severe craniocerebral injury complicated with lower respiratory tract infection in intensive care unit admitted to our hospital were enrolled in this study. The patients were divided into observation group (45 cases) and control group (45 cases). The patients in the control group were given routine basic nursing care. The patients in the observation group were treated with grading nursing care. The clinical nursing conditions (satisfaction, incidence of infection, ICU stay and length of stay) were compared between the two groups. Results The scores of basic nursing, professional skills, ward management, nursing culture and health mission score in the observation group were better than those in the control group (P <0.05). The duration of stay in the intensive care unit (6.14 ± 1.62) days and the incidence of infection was 17.78% , Hospital stay (25.43 ± 6.47) d and mortality rate 17.78% were significantly lower than those in the control group (P <0.05). The nursing group in the observation group was satisfied with 57.78% and the total satisfaction was 97.78%, 35.56% and 35.56% 0.05. Conclusion The clinical application of grading nursing system in patients with severe craniocerebral injury complicated with lower respiratory tract infection in ICU can reduce the hospitalization time and improve the quality of nursing care and nursing staff’s work effect, which is worth popularizing and applying.