Effect of clinical nursing intervention on prevention and nursing of pulmonary infection in patients with cerebral hemorrhage in intensive care unit
临床护理干预在重症监护室脑出血病人肺部感染预防护理中的效果

摘要

目的：分析临床护理干预在重症监护室脑出血病人肺部感染预防护理中的效果。方法：选择 我院收治的 100 例重症脑出血患者，随机分为对照组和实验组，对照组采取常规护理干预，实验组采取临 床护理干预。观察两组发热、咳嗽咳痰、肺部啰音等症状消失时间和住院时间，两组护理后健康状态 HPLP-Ⅱ 评分，两组意识障碍、侵入性操作、营养不良、误吸、排痰不畅等不良情况发生率。结果：实验组不良症 状消失时间和住院时间明显低于对照组，HPLP-Ⅱ评分明显高于对照组，不良情况发生率相比对照组明显更 低，差异有统计学意义（P<0.05）。结论：对重症监护室脑出血病人实施临床护理干预能有效缓解不良症状， 减少住院时间，促进身体健康，有利于减轻经济负担，提高生活质量。

Abstract

Objective: to analyze the effect of clinical nursing intervention in the prevention and nursing of pulmonary infection in patients with cerebral hemorrhage in intensive care unit.
Methods: 100 patients with severe cerebral hemorrhage were randomly divided into control group and experimental group. The control group received routine nursing intervention, and the experimental group received clinical nursing intervention. The disappearance time of symptoms such as fever, cough, expectoration, lung rales and hospitalization time, the hplp- Ⅱ score of health status after nursing in the two groups, and the incidence of adverse conditions such as consciousness disorder, invasive operation, malnutrition, aspiration by mistake, and poor sputum excretion in the two groups were observed.
Results: the disappearance time and hospitalization time of adverse symptoms in the experimental group were significantly lower than those in the control group, and the hplp- Ⅱ score was significantly higher than that in the control group. The incidence of adverse events was significantly lower than that in the control group (p<0.05).
Conclusion  : clinical nursing intervention for cerebral hemorrhage patients in intensive care unit can effectively alleviate adverse symptoms, reduce hospitalization time, promote physical health, reduce economic burden and improve quality of life.