摘要
目的：明确预见性护理预防心脏死亡器官捐献(donation after cardiac death，DCD)供肝移植术后肺部感染的临床效果及卫生经济学价值。方法：选择我院2018年6月至2019年5月接受DCD供肝移植的70例受者作为研究对象，采用随机数字表法将受者分为基础护理组和预见性护理组，每组各35例。基础护理组接受肝移植术后常规护理干预，预见性护理组在常规护理的基础上，接受预见性护理干预。统计两组受者肺部感染、口腔感染和褥疮的发生率以及监护室住院时间、治疗费用等数据，并进行对比分析。结果：与基础护理组相比，预见性护理组受者肺部感染发生率、监护室住院时间和治疗费用均明显降低（P0.05），口腔感染及褥疮的发生率降低，但无统计学差异（P>0.05）。结论：预见性护理干预有利于预防DCD供肝移植术后肺部感染，同时能够减少受者的监护室住院时间并降低治疗费用，值得进一步推广。
关键词： 预见性护理；DCD；肝移植；肺部感染
Abstract
Objective: To investigate the protective effects of predictive nursing interventions on DCD liver transplantation recipients from pulmonary infection. Methods: 70 recipients, performed liver transplantation from 2018.06 to 2019.05, were randomly divided into routine nursing group and predictive nursing group with 35casee for each group. The recipients in routine nursing group received routine nursing interventions and the recipients in predictive nursing group received predictive nursing interventions. The rates of pulmonary infection, oral infection, and pressure sores were collected, and the duration of hospital stays and treatment cost in ICU were also collected and analyzed. Results: As compared with those in routine nursing group recipients, the rates of pulmonary infection and oral infection in predictive nursing group recipients were significantly less, the duration of hospital stays were significantly shorter, and the treatment cost was less (all P0.05). However, the rates of pressure sores showed no significant difference(P>0.05). Conclusion : Predictive nursing interventions can protect DCD liver transplantation recipients from pulmonary infection and possess better health economic value, worthy of further promotion.
Key words： Predictive Nursing; DCD; Liver Transplantation; Pulmonary Infection
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