新型抗反流痰液接纳护理袋在气管切开患者预防医院获得性肺炎中的应用及效果评价OA
Application and effect evaluation of a novel anti-reflux sputum collection nursing bag in the prevention of Hospital-Acquired pneumonia in patients with tracheotomy
目的 探讨新型抗反流痰液接纳护理袋在气管切开患者中的临床应用效果,评价其对医院获得性肺炎(HAP)的预防作用,为临床气道感染防控策略提供依据.方法 选取2023年10月—2024年12月收治的106例气管切开患者,按患者入院先后顺序分为试验组和对照组(各53例),分别实施不同护理干预.试验组采用护理袋连接气管套管实施护理,对照组采用无菌纱布常规遮挡气管切开部位.比较两组患者住院期间痰细菌培养及呼吸道感染相关指标、周围环境污染状况、痰液黏稠度及血氧饱和度(SpO2)的变化.结果 住院期间,试验组痰液细菌培养阳性率为33.96%,多重耐药菌(MDRO)检出率为5.66%,HAP发病率为9.43%,均低于对照组的69.81%、20.75%、35.85%,差异均有统计学意义(均P<0.05).试验组周围环境污染程度低于对照组,Ⅱ、Ⅲ度黏稠痰液占比少于对照组,差异均有统计学意义(均P<0.05).两组患者SpO2 比较差异无统计学意义(均P>0.05).结论 新型抗反流痰液接纳护理袋可实现痰液密闭收集,有效阻断病原体随痰液外溢传播,降低医源性感染风险,实现医患双向防护.
Objective To evaluate the clinical effect of a novel anti-reflux sputum collection nursing bag(hereinafter referred to as the"nursing bag")in patients with tracheostomy,assess its preventive effect against hospital-acquired pneumonia(HAP),and provide evidence for clinical airway infection prevention and control strategies.Methods A total of 106 patients with tracheostomy admitted from October 2023 to December 2024 were enrolled and divided into an experimental group and a control group according to the admission sequence of patients',with 53 cases in each group.Different nursing intervention was carried out.The experimental group received nursing care with the nursing bag connected to the tracheal cannula,while the control group received routine coverage of the tracheostomy opening with sterile gauze.The two groups were compared in terms of nosocomial respiratory infection-related indicators(positive rate of sputum bacterial culture,detection rate of multidrug-resistant organisms[MDRO],and HAP incidence),surrounding environmental pollution status,sputum viscosity,and oxygen saturation(SpO2)during hospitalization.Results During hospitalization,the positive rate of sputum bacterial culture,MDRO detec-tion rate,and HAP incidence in the experimental group were 33.96%,5.66%,and 9.43%,respectively,which were significantly lower than those in the control group(69.81%,20.75%,and 35.85%,all P<0.05).The degree of surrounding environmental pollution and the proportion of grade Ⅱ and Ⅲ viscous sputum in the experimental group were significantly lower than those in the control group(all P<0.05).No significant difference in SpO2 was observed between the two groups(P>0.05).Conclusion The novel anti-reflux sputum collection nursing bag enables closed sputum collection,effectively blocks pathogen transmission via sputum spillover,reduces the risk of nosocomial infection,and provides bidirectional protection for both patients and healthcare workers,warranting its promotion and application in clinical nursing practice.
王晴燕;徐诸凤;施佳敏;谢瑜婷;郁玺玺;姚祯妮;王悦平
上海交通大学医学院附属第九人民医院护理部,上海 200011上海交通大学医学院附属第九人民医院护理部,上海 200011上海交通大学医学院附属第九人民医院护理部,上海 200011上海交通大学医学院附属第九人民医院护理部,上海 200011上海交通大学医学院附属第九人民医院护理部,上海 200011上海交通大学医学院附属第九人民医院护理部,上海 200011上海交通大学医学院附属第九人民医院护理部,上海 200011
医药卫生
气管切开医院获得性肺炎护理袋双向防护
tracheostomyhospital-acquired pneumonianursing bagbidirectional protection
《中国感染控制杂志》 2026 (8)
1181-1187,7
上海交通大学医学院附属第九人民医院护理院级基金(JYHL2023QN04、JYHL2024ZD02-Z3)上海申康医院发展中心项目(SHDC2023CRS009)
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