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肝衰竭后二次感染的危险因素和综合护理干预的效果
Wen-Wen Zhang1, Li Chen1, Yu-Fang Wu2
1Department of Infectious Diseases, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China.
World journal of clinical cases
|August 7, 2024
概括
在肝衰竭 (LF) 患者中,二次感染很常见,与生化标志物和LF类型有关. 综合护理干预措施改善了感染患者的患者满意度.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 二次性感染在肝衰竭 (LF) 患者中具有显著的风险,与更差的预后相关.
- 了解这些感染的风险因素对于制定有针对性的干预措施至关重要.
研究的目的:
- 在肝衰竭患者中识别与二次感染相关的危险因素.
- 评估综合护理干预措施在治疗这些感染和改善患者治疗结果方面的有效性.
主要方法:
- 一项涉及64名肝衰竭患者的回顾性研究,分为患有和没有二次感染的患者.
- 收集的数据包括患者人口统计,实验室参数 (白素,前血时间,血液氨),侵入性手术和并发症.
- 在接受综合护理干预和接受常规护理的患者之间进行了比较分析.
主要成果:
- 二次感染率与特定的生物化学参数和侵入性手术的发生率 (P <0.05) 有显著的关联.
- 接受侵袭性手术的患者感染率较高 (61.6%) 与没有接受侵袭手术的患者相比 (32.1%).
- 肝衰竭的类型影响了感染率,亚急性肺炎的发病率最高.
- 与未感染组 (58.3%) 相比,接受综合干预的感染组 (91.7%) 的护理满意度明显高于未感染组 (58.3%) (P < 0.05).
结论:
- 肝衰竭患者的二次感染很普遍,并且与生物化学概况和肝衰竭分类有关.
- 综合护理干预似乎提高了患者的满意度,特别是在感染个体.
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