综合护理干预对降低呼吸机相关性肺炎的效果观察

The effect observation of comprehensive nursing intervention to reduce the breathing machine correlation pneumonia

目的探讨综合护理干预对降低呼吸机相关性肺炎的临床疗效。方法 RICU收治的危重症行MV的患者70例,分为对照组和干预组,各35例。对照组给予常规干预,干预组给予VAP集束化护理干预。比较2组患者机械通气时间、住RICU时间、VAP发生情况。结果干预组机械通气时间、住RICU时间明显短于对照组,VAP发生率为明显低于对照组(P<0.05)。结论使用集束化护理干预可有效缩短患者机械通气时间、住RICU时间,降低VAP发生率,有利于规范护理操作行为。

Objective To explore the clinical effect of comprehensive nursing intervention to reduce ventilator-associated pneumonia. Methods Critically ill patients who underwent MV from RICU, 70 cases, divided into intervention group and control group, 35 cases each. The control group was given routine intervention intervention group was given VAP cluster change nursing in- tervention. To compare mechanical ventilation time and live RICU time, VAP occurrence in the two groups. Results Mechanical ventilation time and live RICU time significantly shorter in the in- tervention group than control group, and VAP incidence was significantly lower in the intervention group than the control group（P 〈 0.05）. Conclusion Use cluster change nursing intervention can effectively shorten mechanical ventilation time and live RICU time, reduce the incidence in the pa- tients with mechanical ventilation, which be helpful for standard nursing operation behavior.