Effect of respiratory nursing specialist management on preventing pulmonary infection of patients with severe hepatitis
10.3760/cma.j.issn.1674-2907.2013.05.012
- VernacularTitle:呼吸道护理管理小组在预防重型肝炎继发肺部感染中的作用
- Author:
Rong-Qiao DONG
1
;
Ya-Dong WANG
;
Zhi-Xia CAO
;
Chun-Mei WANG
;
Shi WANG
Author Information
1. 河北医科大学第三医院感染科
- Keywords:
Hepatitis;
Respiratory nursing;
Specialist management group;
Pulmonary infection
- From:
Chinese Journal of Modern Nursing
2013;19(5):528-530
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value and significance of respiratory nursing management mode on preventing pulmonary infection of severe hepatitis patients.Methods One hundred and sixty-eight severe hepatitis patients in hospital from 2008 to 2012 were enrolled.A total of 84 cases were randomized into control group,which were cared with traditional second-level monitoring mode:head nurse guidance,nursing department supervision.While for the 84 cases in prevention group,specialist nursing management group were established to organize regular patients nursing round,formulated nursing quality standards and evaluation indexes,and the cases were all cared by three-tier process monitoring:basic charge nursing,specialist group guidance,and nursing department supervision.Finally,the difference in pulmonary infection rate (PIR),infection related mortality (IRM),average length of stay (ALOS),and per capita hospitalization costs (PCHC) between the two nursing mode groups were evaluated.Results Compared with control group,the PIR significantly decreased 20.24％ in prevention group (x2 =8.537 4,P =0.003 5),and IRM were also decreased significantly (10.71％ vs 23.81％ ; x2 =5.042 9,P =0.024 7).ALOS were 38.09 days in prevention group and 51.24 days in control group,and PCHC decreased about ￥ 9 300.00 in prevention group.Conclusions Respiratory specialist nursing management mode is worth popularizing as it can prevent pulmonary infection,lessen IRM,shorten ALOS,and decrease PCHC,as well as can improve patients' satisfaction and compliance.
