ICU护士对呼吸机相关性肺炎非药物预防措施执行的依从性

Investigation of ICU nurses′ compliance for non-drug preventive measures on ventilator-associated pneumonia

目的了解重症监护病房(ICU)护士对呼吸机相关性肺炎非药物预防措施的执行情况。方法参照文献制定调查问卷,调查广东省6所二级以上医院的101名ICU护士,内容包括对预防措施的认知程度,非药物预防措施的执行情况,以及不执行的原因。结果 31.7%自觉VAP预防知识足够,95.0%认为预防措施有效;对VAP预防措施总的依从率是77.0%;工龄≥5年与<5年的护士依从率差异无统计学意义。结论应加强ICU护士VAP预防知识的培训和开展循证实践,补充ICU的人力配备,提升感染预防和控制理念,有效执行VAP预防措施。

OBJECTIVE To understand ICU n urses implementation of non-drug preventive measures for ventilator- associated pneumonia. METHODS Questionnaire was developed according to the correlated literature, totally 101 ICU nurses who worked at six grade-two hospitals in Guangdong province were surveyed about awareness of preventive measures, the implementation of non-drug preventive measures, and the causes of not complying. RESULTS There were 31.7% of the nurses who regarded that their awareness on prevention of VAP was sufficient, 95. 0% believed that the preventive measures were effective; the overall compliance rate for VAP prevention measures was 77.0% there was no significant difference in the compliance rate between the nurses with less than 5 years of ICU experience and those with 5 years or more than 5 years. CONCLUSION It is necessary to strengthen the training of VAP prevention knowledge of ICU nurses and carry out evidence-based practice, reinforce the staffing in ICU, elevate the idea of prevention and control of infection, as well as effectively implement the VAP prevention measures.