Application of comprehensive nursing in ICU patients with cerebral hemorrhage and its impact on pulmonary infection
全面护理在ICU脑出血患者中的应用及对肺部感染的影响

摘要

目的 对ICU脑出血患者采用全面护理后，患者肺部感染与临床观察效果开展讨论分析。方法 选择我院2023.09-2024.09所接收的120例ICU脑出血患者为研究对象，随机分成两个组（观察组/对照组），两个组用不同的模式护理（全面护理/常规护理），比较两组护理效果。结果 护理后观察组血清炎症因子水平[c反应蛋白（4.52±1.92）mg/L，血清降钙素（3.46±0.32）ng/ml，白细胞计数（11.32±1.46）×109/L）]比对照组低,肺CT优于对照组,满意度（医患关系、康复技术、医护态度、康复效果）高于对照组（P<0.05）。结论 对于ICU脑出血患者采用全面护理效果明显，可明显降低肺部感染发生率，并改善其血清炎症因子指标，有效促进其快速康复，值得广泛推广与应用。

Abstract

Objective To discuss and analyze the clinical observation effect of lung infection in ICU patients with cerebral hemorrhage after comprehensive nursing care.
Methods 120 ICU patients with cerebral hemorrhage admitted to our hospital from September 2023 to September 2024 were selected as the research subjects and randomly divided into two groups (observation group/control group). The two groups received different nursing modes (comprehensive nursing/routine nursing), and the nursing effects of the two groups were compared.
Results The levels of serum inflammatory factors [C-reactive protein (4.52 ± 1.92) mg/L, serum calcitonin (3.46 ± 0.32) ng/ml, and white blood cell count (11.32 ± 1.46) × 109/L] in the observation group after nursing were lower than those in the control group. Pulmonary CT was better than the control group, and satisfaction (doctor-patient relationship, rehabilitation technology, medical attitude, rehabilitation effect) was higher than that in the control group (P<0.05).
Conclusion   Comprehensive nursing care has a significant effect on ICU patients with cerebral hemorrhage, which can significantly reduce the incidence of pulmonary infection, improve their serum inflammatory factor indicators, and effectively promote their rapid recovery. It is worthy of wide promotion and application.