護理干預在重癥監護室 (ICU) 腦出血患者預防肺部感染中的應用效果分析

錢曉青 陰英

【摘要】目的：研究護理干預在重癥監護室（ICU）腦出血患者預防肺部感染中的應用效果。方法：本次研究中所有納入樣本均來自于我院收治的重癥監護室（ICU）腦出血患者，對2019年1月至2020年 12月期間患者情況進行了解并確定研究對象后，納入本次研究的樣本共60例。在本次研究中共設置對照組以及觀察組兩個不同的小組，在保證組間樣本容量無差異的基礎上將患者隨機分成兩組，隨后為不同小組患者制定對應的護理方案并開展組間對比。結果：本次研究中觀察組患者的護理方案選擇為護理干預，開展組間對比的過程中發現，不同小組患者的肺部感染發生率、住院時間、不良反應發生情況以及護理滿意度差異明顯（P<0.05）。結論：在為重癥監護室（ICU）腦出血患者開展護理服務的過程中，為患者開展護理干預可以有效的避免患者治療期間出現肺部感染，同時也可以避免各種不良反應的發生，縮短患者的康復時間，因此值得在臨床中進行推廣。

【關鍵詞】護理干預;重癥監護室（ICU）;腦出血;肺部感染

[中圖分類號]R473.74 [文獻標識碼]A[文章編號]2096-5249（2022）01-0140-03

Effect of nursing intervention on preventing pulmonary infection in patients with cerebralhemorrhage in ICU

QIANXiao-qing， YIN Ying （Beijing Aerospace General Hospital， Beijing 100076， China）

[Abstract] Objective： To study the effect of nursing intervention on preventing pulmonary infection in patients with cerebral hemorrhage in intensive care unit （ICU）. Methods： All the included samples in this study were from patients with cerebral hemorrhage in intensive care unit （ICU） in our hospital. After screening the patients from January 2019 to December 2020， 60 patients were included in this study sample. In this study， two different groups， the control group and the observation group， were set up， and patients were randomly divided into two groups on the basis of ensuring that there was no difference in sample size between the groups. Then， corresponding nursing schemes were formulated for patients in different groups and compared among groups. Results： In this study， the nursing scheme of patients in the observation group was nursing intervention. During the comparison between groups， it was found that there were significant differences in the incidence of pulmonary infection， hospital stay， adverse reactions and nursing satisfaction among patients in different groups （P<0.05）. Conclusion： In the process of nursing service for patients with cerebral hemorrhage in intensive care unit （ICU）， nursing intervention for patients can effectively avoid pulmonary infection during treatment， and at the same time， it can also avoid the occurrence of various adverse reactions and shorten the recovery time of patients， so it is worth promoting in clinic.

[Key words] Nursing intervention; Intensive care unit （ICU）; Cerebral hemorrhage; lung infection

臨床中，腦出血是一種較為常見的危急重癥，作為神經內科最常見的疾病之一，該疾病的實質為患者腦實質血管破裂，因此中老年群體為該疾病的高發群體，同時該病也具有發病急、病情變化快，致死率高等一系列特點[1]。在這樣的情況下，患者在發病后通常需要進入重癥監護室（Intensive careunit， ICU）接受觀察以及治療，因此需要醫護人員重點注意。……