摘要
目的 研究风险防范预警预控干预在胸部肿瘤合并多重耐药菌感染患者护理中的应用价值,为胸部肿瘤合并多重耐药菌感染患者良好的预后提供有效的科学依据。方法 以2017年2月至2022年6月南通市肿瘤医院收治的284例胸部肿瘤合并多重耐药菌感染患者为研究对象。采用随机数字表法将患者分为对照组和观察组,每组142例。对照组采用常规护理,观察组在对照组护理方法的基础上予以风险防范预警预控干预。比较2组患者的各项临床指标、炎症因子水平、生活质量评分及不良反应发生情况。结果 观察组的住院时间短于对照组,体温恢复时间早于对照组(P均<0.05)。出院时和随访1个月,2组的白介素-6(IL-6)、超敏C反应蛋白(hs-CRP)和白介素-4(IL-4)均低于干预前(P均<0.05),且观察组均低于同期对照组(P均<0.05);2组的生活质量量表各维度评分均高于干预前(P均<0.05),且观察组均高于同期对照组(P均<0.05)。观察组的不良反应总发生率低于对照组(P<0.05)。结论 实施风险防范预警预控干预能够加速胸部肿瘤合并多重耐药菌感染患者体温恢复,缩短住院时间,缓解炎症反应,改善生活质量,减少不良反应发生。
Objective To study the application value of risk prevention,early warning,and precontrol intervention in the nursing of thoracic tumor patients with multidrug resistant bacterial infections,and to provide an effective scientific basis for good prognosis of thoracic tumor patients with multidrug resistant bacterial infections.Methods From February 2017 to June 2022,284 thoracic tumor patients with multidrug resistant bacterial infections at Nantong Cancer Hospital were enrolled.They were allocated into a control group and an observation group by the use of a random number table,with 142 cases in each group.The control group carried out routine nursing,and the observation group carried out risk prevention,early warning,and pre-control intervention on the basis of the control group.The clinical indicators,inflammatory factor levels,quality of life scores,and adverse reactions of the two groups were compared.Results The hospitalization time and body temperature recovery time of the observation group were shorter than those of the control group(both P<0.05).At discharge and after 1 month of follow-up,the levels of interleukin-6(IL-6),high-sensitivity Creactive protein(hs-CRP),and interleukin-4(IL-4)in both groups were lower than those before the intervention(all P<0.05),and the levels in the observation group were lower than those in the control group(all P<0.05).The scores of all dimensions of quality of life scale in both groups were higher than those before the intervention(all P<0.05),and the scores in the observation group were higher than those in the control group(all P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusion The implementation of risk prevention,early warning,and pre-control intervention can accelerate the body temperature recovery of thoracic tumor patients with multidrug resistant bacterial infections,shorten the hospital stay,alleviate the inflammatory response,improve the quality of life,and reduce the adverse reactions.
作者
陈蕾
马平平
金小洁
祁小舟
陆敏敏
CHEN Lei;MA Pingping;JIN Xiaojie;QI Xiaozhou;LU minmin(Department of Radiotherapy,Nantong Cancer Hospital,Nantong,Jiangsu,226361,China)
出处
《中西医结合护理（中英文）》
2022年第9期29-32,共4页
Journal of Clinical Nursing in Practice
基金
南通市市级科技计划(指导性)项目(MSZ20165)。
关键词
风险防范
预警预控
胸部肿瘤
多重耐药菌感染
risk prevention
early warning and pre-control
thoracic tumor
multidrug resistant bacterial infection
