临床护理路径在预防呼吸机相关性肺炎中的应用

Application of clinical nursing pathway in the prevention of ventilator- associated pneumonia

目的:探讨临床护理路径(CNP)在预防呼吸机相关性肺炎(VAP)患者中的应用效果。方法:将120例进行机械通气的患者按照随机数字表法分为观察组和对照组各60例,对照组给予常规护理措施,观察组按照临床护理路径表进行护理。比较两组护理效果。结果:观察组呼吸机相关性肺炎发生率、机械通气时间、入住ICU时间、住ICU费用与对照组比较差异有统计学意义(P<0.05)。结论:CNP是一种为患者提供高品质、高效率、低成本的医疗服务模式,能降低机械通气患者呼吸机相关性肺炎的发生率,缩短机械通气时间和入住ICU时间,减少住ICU费用。

Objective：To explore the application of clinical nursing path （CNP） in the prevention of ventilator -associated pneumonia （VAP）Patients.Methods：120 patients with mechanical ventilation were randomly divided into the observation group and the control group （60 cases in each group）.The routine nursing measures were taken in the control group and the patients in the observation group were managed by using CNP table .The nursing effects were compared between the two groups .Results：There were statistically significant differ-ences in the comparison of the incidence of VAP ,mechanical ventilation time ,the length of stay and cost in ICU between the two groups （P〈0.05）.Conclusion：CNP is one of medical service modes in proving high quality and high efficiency services for patients ,which can reduce the incidence of VAP ,shorten the duration of mechanical ventilation and stay time in ICU .