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  • 临床护理路径干预措施在预防高龄患者肝内外胆管结石手术肺部感染中的应用效果

临床护理路径干预措施在预防高龄患者肝内外胆管结石手术肺部感染中的应用效果

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  [摘要]目的 探讨临床护理路径干预措施在预防高龄患者肝内外胆管结石手术肺部感染中的应用效果。方法 选取2017年5月~2018年5月在本院接受治疗的60例高龄肝内外胆管结石患者作为观察对象,按照随机数字表法分为对照组(30例)与观察组(30例)。观察组患者采用临床护理路径形式的护理干预措施,对照组患者采用常规护理。比较两组患者的肺部感染发生情况以及住院时间。结果 观察组患者的肺部感染发生率明显低于对照组,差异有统计学意义(P<0.05);观察组患者的住院时间明显短于对照组,差异有统计学意义(P<0.05)。结论 在高龄肝内外胆管结石患者手术中,加强患者围术期的综合护理干预措施,不仅可以有效缩短患者的住院时间,还可以有效减少肺部感染的发生,效果较好,值得应用。
  [关键词]护理干预;肺部感染;肝内外胆管结石;高龄患者
  [中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721(2019)8(b)-0196-03
  [Abstract] Objective To investigate the application effect of clinical nursing pathway intervention measures in preventing pulmonary infection in elderly patients undergoing intrahepatic and extrahepatic biliary calculi surgery. Methods Sixty elderly patients with intrahepatic and extrahepatic biliary calculi treated in our hospital from May 2017 to May 2018 were selected as observation objects and they were divided into the control group (30 cases) and observation group (30 cases) according to random number table method. Nursing intervention measures in the form of clinical nursing pathway were adopted in the observation group, while routine nursing was adopted in the control group. The incidence of pulmonary infection and hospitalization time were compared in patients between the two groups. Results The incidence of pulmonary infection in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). The hospitalization time in the observation group was significantly shorter than that in the control group, and the difference was statistically significant (P<0.05). Conclusion For elderly patients after intrahepatic and extrahepatic biliary calculi surgery, strengthening the comprehensive nursing intervention measures of patients during perioperative period can not only effectively shorten the hospitalization time of patients, but also effectively reduce the incidence of pulmonary infection. The effect is good, and it is worth applying.
  [Key words] Nursing intervention; Pulmonary infection; Advanced age; Intrahepatic and extrahepatic biliary calculi; Elderly patients
  隨着社会生活水平的不断提高,人类的寿命也普遍有所延长,这也造成年龄≥65岁的胆管结石并患者数量显著增加。相关调查结果显示,在年龄>60岁的老年人群中,胆管疾病的患病率在24%左右[1],另外,针对高龄患者,其经常会伴有各种慢性疾病,如糖尿病、高血压等,当其采取手术治疗后,因机体遭受破坏,便会出现许多病理改变,受此影响,极易损伤其他器官系统,使其发生各种病变[2]。鉴于此,加强对高龄胆管结石病患者围术期的护理干预,在保证患者的治疗效果,提高其生活质量方面具有重要意义。国内外均有关于高龄肝内外胆管结石手术相关护理的研究和报道,但是在预防感染方面依然需要进一步研究。本研究选取60例高龄肝内外胆管结石患者作为临床观察对象,详细分析了临床护理干预在降低患者肺部感染中的应用价值,现报道如下。   [参考文献]
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  (收稿日期:2018-08-09  本文编辑:许俊琴)
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