胃食管反流护理干预对老年肺部感染患者的疗效影响

目的：观察胃食管反流护理干预对老年肺部感染患者疗效的影响。方法将51例老年肺部感染并有胃食管反流症状的患者通过随机数字表法将其随机分为对照组和实验组,对照组予以常规护理,实验组在常规护理下加强胃食管反流护理干预。干预一周后,比较两组在抗生素使用天数,达到正常体温天数,白细胞,C反应蛋白( CRP)上的差别。采取Likert 5级评分法设计的满意度调查表评价两组住院患者对医务人员的满意度上的差异。结果两组患者入院时一般情况无统计学差异,临床肺部感染评分(CPIS)无统计学意义(P>0.05),干预前后耐信量表(RDQ)评分P<0.01,护理实验组患者抗生素使用天数低于对照组(P<0.05),护理实验组达到正常体温天数低于对照组(P<0.01),护理实验组白细胞较对照组无明显改变(P>0.05),护理实验组中性粒细胞百分比较对照组降低( P<0.05),护理实验组CRP较对照组降低( P<0.05),护理实验组患者满意度较对照组提高( P<0.05)。结论胃食管反流的护理干预可以提高老年肺部感染患者的疗效。

Curative effect of gastroesophageal reflux nursing intervention on the elder patients with pulmonary infection

Objective To observe the effects of gastroesophageal reflux nursing intervention on the elder infec-tion patients. Methods A total of 51 elder patients with pulmonary infection and symptoms of gastroesophageal reflux were divided into experimental group and control group by means of random number table. In experimental group, the patients were given enhanced gastroesophageal reflux plus usual care intervention, while the patients of the control group only received usual care intervention. Days of antibiotic use, days of reaching normal body temperature, numbers of leukocytes and levels of C-reactive protein ( CRP ) were compared between these two groups after 1 week ' s interven-tion. The satisfaction questionnaire designed by means of Likert five points scaling method was used to evaluate the differ-ence of the satisfaction for the medical staffs by the inpatients in these two groups. Results There were no statistical differences in the general information of the patients in the two groups upon admission to hospital, and no statistical sig-nificance existed on clinical pulmonary infection score (CPIS) between these two groups (P>0. 05) . Significant differ-ence was found in RDQ scores ( P<0. 01 ) . The days with antibiotic use in the experimental group was less than that in the the control group ( P<0. 05 ) . The total days of the body temperature reached normal in the experimental group were less than that in the control group ( P<0. 01 ) . No significant variation of the number of leukocytes was found in the ex-perimental group when compared to that in the control group ( P>0. 05 ) , while the percentage of neutrophils in the ex-perimental group was lower when compared to that in the control group (P<0. 05) . Meanwhile, compared to the CRP in the control group, that in the experiemntal group relatively decreased (P<0. 05), and the degree of satisfaction of patients in the experimental group to the medical staffs was higher than that in the control group ( P<0. 05 ) . Conclusions The gastroesophageal reflux care intervention can increase the therapeutic effects for elder pulmonary in-fection patients.