综合性护理干预在降低新生儿机械通气感染率的效果

Efficacy of comprehensive nursing intervention in reducing neonatal infection induced by mechanical ventilation

目的探讨综合性护理干预在减少新生儿机械通气感染中的作用。方法将佛山市第一人民医院新生儿重症监护室(NICU)收治的50例行机械通气治疗的新生儿作为观察组,并与NICU收治的行机械通气治疗新生儿50例进行对比研究,观察组进行综合护理干预,对照组进行常规护理干预。结果观察组新生儿院内感染率显著低于对照组,(48.0%vs 20.0%),P<0.05,观察组的VAP发生率显著低于对照组(24.0%vs 8.0),P<0.05,观察组的死亡率与对照组比较未见统计学差异(0.0%vs 4.0%),P>0.05。结论综合性护理干预通过全面的对引发新生儿机械通气感染的相关因素进行重点防控,综合性的护理支持,有效的减少了新生儿机械通气的院内感染率及VAP发生率,值得临床应用。

Objective To explore the efficacy of comprehensive nursing intervention in reducing neonatal infection induced by mechanical ventilation. Methods 50 cases neonatal with mechanical ventilation from department of neonatology in the first people＇s hospital of Foshan were chose as the observation group. Another 50 cases of neonatal with mechanical ventilation from neonatology were chosen as control. Patients in the observation group received comprehensive nursing intervention,however,patients in the control group with routine nursing intervention. Results The nosocomial infection in the observation group was significantly lower than the control group,（ 48. 0% vs 20. 0%,P〈0. 05）. The VAP incidence in the observation group was significantly lower than the control group（ 24. 0% vs 8. 0%,P〈0. 05）. The difference of mortality between the observation group and the control group has no significance. Conclusions The comprehensive nursing intervention effectively reduce the incidence of nosocomial infection and VAP induced by mechanical ventilation through control the relevant factors which can lead to mechanical ventilation infection and applies comprehensive nursing support,it is worthy of clinical application.