Abstract: ［Abstract］ Objective To investigate the effect of preventive nursing on the incidence of inhalation pneumonia in bedridden patients. Methods A prospective study was conducted to collect 75 inpatients with long?term bed rest（>2 months admission）from May 2016 to November 2016. The patients were di? vided into preventive care group （38 cases） and routine care group （38 cases）. The preventive care group adopted more active care for routine care，mainly including supervised hand nursing supervision to increase compliance，prevention of cough in the diet，and strengthening oral care. Results A total of 35 patients in the preventive care group completed the study and 34 patients in the conventional care group completed the study. 5 cases（14.29%）in the preventive care group and 8 cases（23.53%）in the regular care group had inhalation pneumonia. There was no statistically significant difference between the two groups （P=0.05）；compliance with the preventive care group Higher than the regular care group（71.8% vs 52.4%，P=0.05）；satisfaction of the preventive care group was significantly better than that of the conventional care group（92.0% vs 69.9%，P=0.022）. Conclusion Preventive nursing improves the work compliance of the nurses and increases patient satisfaction. However，whether to reduce the inci? dence of inhalation pneumonia in bedridden patients requires more observations.

Key words: inhalation pneumonia, Preventive nursing procedure

摘要： ［摘要］ 目的 预防性护理对临床长期卧床患者坠积性肺炎发生率的效果。方法 采用前瞻性研究方法，收集 2016 年 5 月到 2016 年 11 月的 75 例长期卧床（入院时间>2 个月）的住院患者，分为预防护理组（纳入病例 38 例）和常规护理组（纳入病例 38 例）。预防护理组采用交常规护理更积极的护理，主要包括增加依从性的专人护理监督、预防饮食呛咳和加强口腔护理。结果预防性护理组35 例完成项目，常规护理组完成研究34 例。预防性护理组5 例（14.29%）、常规护理组有8 例（23.53%）发现坠积性肺炎发生，两组比较，差异没有统计学意义（?2=0.964，P=0.326）；预防性护理组的依从性高于常规护理组（74.28% vs 50.00%，?2=，P=0.037）；预防性护理组的满意度明显优于常规护理组（91.43% vs 70.59%，?2=4.899，P=0.027）。结论 预防性护理提高护士的工作依从性，增加患者满意度；但是否减少长期卧床患者坠积性肺炎的发生尚需要更多病例观察。

关键词: 坠积性肺炎, 预防性护理