王晓杰 卓春梅 吕小羽 麦玉娇 魏 娟 李 慧

感染性心内膜炎患者的综合护理干预

王晓杰 卓春梅 吕小羽 麦玉娇 魏 娟 李 慧

目的 探讨感染性心内膜炎患者的综合护理干预措施及护理效果。方法 选择2012年5月～2015年5月我院收治的60例感染性心内膜炎患者。随机分为观察组和对照组各30例。对照组患者采取常规护理措施，观察组在对照组的基础上采取综合护理干预。结果 观察组护理的总有效率（90%），高于对照组（60%），差异相比具有统计学意义，P＜0.05（χ2=7.200 0，P=0.007 3）。结论 对感染性心内膜炎患者给予综合性的护理干预可有效控制患者病情，提高护理的总有效率。

感染性心内膜炎；综合护理干预；护理总有效率

【Abstract】

Objective To investigated the comprehensive nursing intervention measures and nursing effects on patients with infective endocarditis. Methods A total of 60 patients with infective endocarditis treated in our hospital between May 2012 and May 2015 were selected. The patients were randomly divided into an observation group and a control group， with 30 cases in each. Routine nursing measures were taken for patients in the control group，while patients in the observation group were provided with comprehensive nursing intervention on the basis of routine care. Results The overall effective rate of treatment in the observation group （90%） was significantly higher than that of the control group （60%）. The difference was statistically significant， with P＜0.05，（χ2=7.200 0，P=0.007 3）. Conclusion Comprehensive nursing intervention for patients with infective endocarditis can effectively control disease development and raise the overall effective rate of nursing.

【Key words】Infective endocarditis，Nursing intervention，Overall effective rate of nursing

感染性心内膜炎（IE）指心脏内膜或邻近大动脉内膜因细菌、真菌或其他微生物感染而产生的炎症病变［1］。感染性心内膜炎会给患者造成极大痛苦，病情严重者可能导致死亡。感染性心内膜炎近几年其发病人群逐渐增多，需要引起足够的重视。本文详细探讨对患者实施的综合护理措施，现进行以下报道。

1　资料与方法

1.1一般资料

研究对象选择2012年5月～2015年5月我院收治的感染性心内膜炎患者60例，均与诊断感染性心内膜炎的有关标准相符合，患者的主要临床症状包括畏寒、呼吸困难、心脏杂音、咳嗽、发热、抽搐等，有的伴有下肢水肿、进行性贫血等症状。且在入院后经过CT影像和心电图等检查确诊，随机分为观察组和对照组各30例。观察组包括男性18例，女性12例；年龄15～47岁，平均（45.82±5.58）岁。对照组包括男性20例，女性10例；……