呼吸机相关性肺炎的集束化护理干预

Cluster of nursing intervention on ventilator-associated pneumonia

目的:探讨采用集束化护理干预预防呼吸机相关性肺炎的方法。方法:将我院2010年1月～2012年1月发生呼吸机相关性肺炎的患者120例,随机分为对照组(60例)和干预组(60例),分别采用常规护理方法,干预组在常规护理的基础上用集束化护理干预措施,观察比较两组患者平均机械通气时间、成功脱机率、护理满意度及总有效率等。结果:干预组能明显缩短机械通气时间,提高患者护理满意度及脱机成功率(P<0.05),干预组护理干预后患者预后明显优于对照组,死亡率较对照组减少(P<0.05)。结论:集束化护理干预能有效降低呼吸机相关性肺炎患者的死亡率,缩短患者机械通气时间,临床上值得推广。

Objective To explore the prevention of ventilator-associated pneumonia （VAP） and perfect nursing measures. Methods Our collection in January 2010 to January 2012 Ventilator-associated pneumonia in patients with 120 cases were randomly dividedinto the control group （n=60） and intervention group （n=60）, which controls the routine basic nursing methods, intervention group based in routine care foundation with body position care, oral nursing care airway intervention measures, and study the two groups were average mechanical ventilation, successful probability, take off time nursing satisfaction and the total effective rate, etc. Results Intervention group can obviously reduce mechanical ventilation time, improve patient care satisfaction and offline success rate （P〈0.05）, intervention group after intervention, the prognosis of patients with significantly better in the control group, the mortality rate is reduced （P〈0.05）,with a statistical significance. Conclusion Cluster of nursing intervention can effectively reduce Ventilator-associated pneumonia patients mortality, shorten the time patients with mechanical ventilation, clinical worth promoting.