摘要
目的 探讨急诊重症监护病房(EICU)患者采用预防肺部感染护理流程的临床效果。方法 选取本院急诊EICU患者共86例(时间2024年8月-2025年5月),并随机划分2个组别,其中1组纳入43例均采用常规护理(对照组),另1组纳入43例均采用预防肺部感染护理流程(观察组)。根据肺部感染情况、预后效果对2组干预效果综合评价。结果 观察组肺部感染发生率、临床肺部感染评分(CPIS)相较对照组均下降,2组间具备统计学差异(P<0.05)。观察组感染持续时间、机械通气时间、EICU入住时间与对照组比较均缩短,2组间具备统计学差异(P<0.05)。结论 急诊EICU患者采用预防肺部感染护理流程能明显降低肺部感染风险,缩短感染持续时间,促进病情康复。
关键词: 急诊重症监护病房;预防;肺部感染;护理流程
Abstract
Objective To explore the clinical effect of adopting a nursing process for preventing pulmonary infection in emergency intensive care unit (EICU) patients. Methods A total of 86 emergency EICU patients from our hospital were selected (from March 2024 to March 2025) and randomly divided into two groups. One group consisted of 43 patients who received routine care (control group), while the other group consisted of 43 patients who received preventive care for pulmonary infection (observation group). Comprehensive evaluation of the intervention effects of two groups based on the status of pulmonary infection and prognosis. The incidence of pulmonary infection and clinical pulmonary infection score (CPIS) in the observation group decreased compared to the control group, and there was a statistically significant difference between the two groups (P<0.05). The duration of infection, mechanical ventilation time, and EICU stay time in the observation group were all shortened compared to the control group, and there was a statistically significant difference between the two groups (P<0.05). Conclusion Adopting a nursing process for preventing pulmonary infection in emergency EICU patients can significantly reduce the risk of pulmonary infection, shorten the duration of infection, and promote disease recovery.
Key words: Emergency intensive care unit; Prevention; Pulmonary infection; Nursing process
参考文献 References
[1] 王一山,阮萍,章夏萍. 基于渥太华研究应用模式的肺部感染预防方案在EICU机械通气病人中的应用[J]. 循证护理,2024,10(24):4543-4547.
[2] 高亚萍,孙云飞. EICU重症患者院内肺部感染发生情况调查及痰热清预防效果研究[J]. 陕西中医,2018,39(1): 56-58.
[3] 谢金妹. 预见性护理模式对EICU机械通气患者肺部感染的预防作用[J]. 中外医疗,2022,41(18):126-130.
[4] 罗建,赵云霞,刘玥. EICU创伤性多发性肋骨骨折患者肺部感染影响因素及预防策略分析[J]. 基层医学论坛,2024,28(19):1-3.
[5] 钱晓青,阴英. 护理干预在重症监护室(EICU)脑出血患者预防肺部感染中的应用效果分析[J]. 医学食疗与健康,2022,20(1):140-142.
[6] 马娜. 预防性护理对于EICU脑出血患者术后肺部感染发生率的降低作用分析[J]. 婚育与健康,2023,29(22): 157-159.
[7] 刘婉,李向丽. 预见性护理模式对ICU机械通气患者肺部感染的预防作用[J]. 临床研究,2023,31(6):146-149.
[8] 李美仙. 预防性护理联合振动排痰法对EICU老年肺部感染患者肺功能、排痰量及效果分析[J]. 中国医药指南,2024,22(30):166-168.
[9] 戴欢欢. 督导式预警性护理在预防重症监护室机械通气患者肺部感染中的应用效果[J]. 中国民康医学,2025, 37(8):173-176.
[10] 周瑶,徐佟,黄洁,等. 综合护理干预对重症监护室(EICU)脑出血患者预防肺部感染的有效性分析[J]. 临床护理研究,2023,32(22):151-153.