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国际护理学研究

International Journal of Nursing Research

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International Journal of Nursing Research. 2019; 1: (1) 1; DOI:10.12208/j.ijnr.20180001 .

Effect of PDCA nursing procedure on nosocomial infection and neurological function in patients with severe traumatic brain injury
PDCA护理程序对重型颅脑损伤患者院内感染及神经功能的影响研究

作者： 刘建荣, 杨磊, 赵海康, 李小强, 王妮 *

西安医学院第二附属医院

*通讯作者： 王妮,单位：西安医学院第二附属医院；

收录截图（CNKI-Scholar）

引用本文: 刘建荣, 杨磊, 赵海康, 李小强, 王妮 PDCA护理程序对重型颅脑损伤患者院内感染及神经功能的影响研究[J]. 国际护理学研究, 2019; 1: (1) : 1-7.
Published: 2018/9/19 10:56:51

摘要

目的：探讨PDCA护理程序对重型颅脑损伤（STBI）患者院内感染的预防效果及对神经功能的影响。方法：将120例STBI患者随机分为研究组与对照组，每组60例。研究组实施PDCA护理程序，对照组实施常规护理。对比两组院内感染发生情况，护理前后采用美国国立卫生院卒中量表（NIHSS）和Barthel指数（BI）评价临床预后。结果：研究组的肺部感染、颅内感染及总感染发生率分别为3.33%、1.67%、11.67%，显著低于对照组的13.33%、11.67%、45.00%，组间比较差异有统计学意义（P<0.05）；护理后研究组的NIHSS评分显著低于对照组，而BI指数显著高于对照组（P<0.05）；研究组护理满意度为91.67%，显著高于对照组的70.00%（P<0.05）。结论：PDCA护理程序能够有效减少STBI患者院内感染发生率，促进神经功能的康复并提高患者的满意度。

关键词： 重型颅脑损伤；PDCA护理程序；院内感染；神经功能

Abstract

Objective: To investigate the effect of PDCA nursing program on nosocomial infection in patients with severe traumatic brain injury (STBI) and its effect on neurological function.
Methods: 120 patients with STBI were randomly divided into research group and control group,60 patients in each group.The research group received PDCA nursing procedure,the control group received routine nursing procedure. The incidence of nosocomial infection between the two groups were compared,the clinical prognosis was evaluated by National Institutes of Health Stroke Scale (NIHSS) and Barthel index (BI) before and after nursing.
Results: The incidence of pulmonary infection,intracranial infection and total nosocomial infection were 3.33%,1.67% and 11.67% in the research group respectively, which were significantly lower than 13.33%,11.67% and 45.00%in the control group respectively ,the differences between the two groups were statistically significant (P<0.05);After nursing,the NIHSS score in the research group was significantly lower than that in the control group, while the BI index was significantly higher than that in the control group (P<0.05);The nursing satisfaction rate in the research group was 91.67%, which was significantly higher than 70.00% in the control group (P<0.05)..
Conclusion  : PDCA nursing procedure can effectively reduce the incidence of nosocomial infection in STBI patients, which can promote the rehabilitation of neurological function and improve the nursing satisfaction rate of patients.

Key words： Severe traumatic brain injury; PDCA nursing procedures; Nosocomial infection; Neurological function

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