摘要
目的 在神经外科的多重耐药菌感染管理中，运用标准化护理的效果分析。方法 本次研究共选取了120例在我院神经外科接受治疗的多重耐药菌感染患者，入院时间均在2018年1月～2020年10月。其中60例常规护理下的患者纳入对照组，另外60例标准化护理下的患者纳入研究组。对两组在护理后的不同多重耐药菌菌种感染情况、不同部位感染发生率以及住院时间进行比较。结果 在患者入院时，相比于对照组的不同多重耐药菌菌种感染率以及不同部位感染发生率，研究组与之比较无统计学差异（P＞0.05），治疗后1周，两组的不同多重耐药菌菌种感染率以及不同部位感染发生率不同程度降低，而此时相比于对照组的不同多重耐药菌菌种感染率以及不同部位感染发生率，研究组的显著降低（P＜0.05）。研究组的住院时间明显短于对照组（P＜0.05）。结论 在神经外科的多重耐药菌感染管理中，采取标准化护理能有效控制多重耐药菌感染的发生，对促进患者康复具有重要意义，可有效缩短患者的住院时间。
关键词： 标准化护理；神经外科；多重耐药菌感染管理
Abstract
Objective To analyze the effect of standardized nursing in the management of multidrug-resistant bacterial infection in neurosurgery. Methods A total of 120 patients with multidrug-resistant bacterial infection who were treated in the neurosurgery department of our hospital were selected in this study. The admission time was from January 2018 to October 2020. Among them, 60 patients under routine care were included in the control group, and the other 60 patients under standardized care were included in the study group. The infection of different multidrug-resistant bacteria, the incidence of infection in different parts and the length of hospital stay were compared between the two groups after nursing. Results At the time of admission, compared with the control group, the infection rate of different multidrug-resistant bacteria and the incidence of infection in different parts of the study group had no statistical difference (P>0.05). The infection rate of different multi-drug-resistant bacteria strains and the incidence of infection at different sites decreased to varying degrees, and at this time, compared with the infection rate of different multi-drug-resistant bacteria strains and the incidence of infection at different sites in the control group, the research group was significantly reduced. (P<0.05). The length of hospital stay in the study group was significantly shorter than that in the control group (P<0.05). Conclusion In the management of multidrug-resistant bacteria infection in neurosurgery, taking standardized nursing can effectively control the occurrence of multidrug-resistant bacterial infection, which is of great significance to promote the recovery of patients, and can effectively shorten the hospitalization time of patients.
Key words： Standardized nursing; Neurosurgery; Management of multidrug-resistant bacterial infection
参考文献 References
[1] 刘金杰,赵宇昊,童岚.多重耐药菌感染在神经外科的现状分析[J].中国实验诊断学,2019,23(8):1328-1329.
[2] 邓春蕾,彭娜,马廉亭,等.标准化护理在神经外科监护室多重耐药菌感染管理中的应用效果[J].中国临床神经外科杂志,2020,25(5):71-73.
[3] 唐君燕.规范化护患沟通程序对神经外科重症监护室护理满意度影响的疗效观察[J].中国社区医师,2020,36(17):166-167.
[4] 郭洪银,于祎睿.集束化护理在下呼吸道多重耐药菌定植气管切开患者中的应用效果分析[J].中外医疗,2020,39(5):151-153,157.
[5] 刘欢,黄云丹.护理安全管理在急诊重症监护室多重耐药菌医院感染控制中的应用效果[J]. 当代护士（中旬刊）,2020,27(1):178-181.
[6] 李晶,王艳侠. PDCA循环模式在神经外科急危重患者多重耐药菌感染管理中的应用[J]. 护理实践与研究,2020,17(20):63-65.
[7] 陶莉,张冰琦,黄郁竹,等.多学科协作联合精准化监管模式在神经外科重症监护室多重耐药菌感染防控中的实践与效果[J].当代医学,2019,25(32):129-132.
[8] 李婷婷,马雯.医护协同管理在神经外科重症患者多重耐药菌医院感染控制中的应用效果评价[J].当代临床医刊,2021,34(3):53,104.
[9] 陈琳,闻婷,忻弘,等.PDCA循环管理应用于神经外科多重耐药菌感染中的临床效果[J].国际护理学杂志,2020,39(24):4533-4536.
[10] 李小青,李婷婷,张晶莹.精细化管理在减少多重耐药菌院内感染中的应用效果[J].临床医学研究与实践,2019,4(7):182-183,186.