循证护理在机械通气控制呼吸机相关性肺炎中的应用

The application of evidence-based nursing in mechanical ventilation to prevent ventilator-associated pneumonia

目的探讨机械通气控制呼吸机相关性肺的科学护理方法。方法随机选取行机械通气患者32例为观察组,进行循证护理。护理小组结合文献资源研究和临床经验,充分考虑患者实际情况,对VAP护理的相关问题进行循证,综合制定护理措施。结果观察组通过应用循证护理,患者机械通气时间明显短于对照组,发生VAP 3例(9.38%),对照组发生VAP 9例(28.13%),观察组护理效果明显优于对照组,差异有统计学意义(P<0.05)。结论循证护理对于减少患者机械通气时间、降低VAP发生率具有积极的作用,并有助于提高护理人员的业务素质,值得临床推广应用。

Objective To research the scientific nursing method of mechanical ventilation to prevent ventilator-associated pneumonia.Methods Select 32 patients with mechanical ventilation to be the observation group and carry out evidence-based nursing.The nursing group combines paper research and clinical experience,takes the patients＇ practical situation into account,and researches VAP nursing problems＇ evidence,and then makes the nursing strategies.Results Compared with the control group,the observation group has shorter mechanical ventilation time,and has 3 VAP patients（9.38%）,and the control group has 9 VAP patients（28.13%）,so the nursing effect of observation group is better than the control group,and the differences have statistical significance（P0.05）.Conclusion Evidence-based nursing may reduce mechanical ventilation time and VAP occurrence rate significantly,and it is good for improving the nurses＇ service quality,which is worthy for clinical application.