护理优化干预策略在重症监护病房VAP预防中的应用

The Application of Nursing Intervention Strategies to Optimize in the VAP Prevention of ICU

目的:探讨通过优化干预护理的各项措施达到预防呼吸机相关性肺炎的作用。方法:选取2013年在笔者所在医院重症监护病房行有创机械通气且治疗时间≥48 h的73例患者,按照随机数字表法将其分为试验组37例和对照组36例,试验组严格执行护理的各项优化干预策略,对照组不做严格要求,采用常规的护理方法,观察比较两组患者的呼吸机相关性肺炎的发生情况。结果:经过护理后,试验组的VAP发生率29.73%(11/37)明显低于对照组的52.78%(19/36),差异有统计学意义(字2=4.004,P=0.045)。结论:ICU患者执行VAP预防的护理优化干预策略可有效降低VAP的发生率,值得临床推广应用。

Objective：To investigate the role of prevention to achieve ventilator-associated pneumonia（VAP） through optimizing of measures to care.Method：73 patients with invasive mechanical ventilation and treatment time≥48 h in intensive care unit（ICU） of our hospital in 2013 were selected,they were divided into the experimental group for 37 cases and the control group for 36 cases according to the random number table method.The experimental group was strictly given the optimization of nursing intervention strategies,the control group was not strict,was given conventional nursing methods.The incidence of ventilator-associated pneumonia cases between the two groups were observed and compared.Result：After nursing,the incidence of VAP in experimental group was 29.73%（11/37）,it was significantly lower than 52.78%（19/36） in control group,the difference was statistically significant（χ^2=4.004,P=0.045）.Conclusion：Implementation of VAP prevention and nursing intervention in patients with ICU optimization strategy can effectively reduce the incidence of VAP,it is worthy of clinical application.