ICU护理组长在实施集束干预策略预防呼吸机相关性肺炎中的作用

The effect of ICU nursing group director in the implementation of cluster intervention strategies to prevent ventilator associated pneumonia

目的通过介绍ICU护理组长在实施集束干预策略预防呼吸机相关性肺炎(VAP)中的作用,探讨预防机械通气患者VAP的专业化护理。方法在制订和实施集束干预策略预防VAP的基础上,成立了由护理组长组成的质量监控小组,通过学习、培训、应用和质量控制等职能的实施,成为预防VAP的组织保障,比较护理组长监控集束干预策略前后一年VAP的发生率。结果护理组长参与集束干预策略的质量控制后,VAP的发生率由实施前的44.1%下降到实施后的23.3%,通过比较,具有统计学意义(P<0.05)。结论集束干预策略作为主动预防措施比传统的被动预防具有针对性和有效性,而护理组长的专业化护理的实施更能有效提高VAP预防的护理质量。

Objective To explore the effect of ICU nursing group director in the implementation of cluster intervention strategies to prevent ventilator associated pneumonia （VAP） and professional nursing care for patients with mechanical ventilation （MV） . Methods Based on the development and implementation of cluster intervention strategies to prevent VAP, we organized quality control group leaded by nursing group director and provided for VAP prevention through learning, training, application and quality control on the functions to achieve . To compare the incidence of VAP year before and after. Results After intervention, the occurring rate of VAP was down to 23.3% from 44. 1%. Conclusion Cluster intervention strategies as a proactive prevention measure was more passive and effective than the traditional prevention. The nursing quality of VAP prevention had improved by the professional nursing care of nursing group director.