老年患者呼吸机相关性肺炎的综合护理干预效果观察

Effect of comprehensive nursing intervention on elderly patients with ventilator associated pneumonia

目的探讨综合护理干预ICU呼吸机相关性肺炎老年患者的效果。方法选取100例ICU呼吸机相关性肺炎老年患者随机分为AB两组，给予A组常规护理，给予B组综合护理干预，对比两组患者的VAP发生率及临床疗效。结果A组患者的发病率（46．0％vs．14．0％）以及病死率（22．0％vs．4．0％）明显大于B组，差异有统计学意义（P〈0．05）；A组患者的机械通气时间[（17．13±0．87）dvs．（8．23±0．67）d]、住院时间[（21．25±8．52）d vs．（11．22±8．12）d]以及住院费用（（3．67±0．67）万元vs．（2．32±0．37）万元】均明显高于B组，两组比较差异有统计学意义（P〈0．05）。结论对ICU呼吸机相关性肺炎老年患者进行综合护理干预，效果明显，能够有效降低VAP发生率以及病死率，减少机械通气时间以及住院时间，缓解患者的经济负担，值得各大医院推广使用。

Objective To explore the effect of comprehensive nursing intervention on elderly patients with ventilator associated pneumonia in ICU. Methods 100 elderly patients with ventilator associated pneumonia in ICU were randomly divided into two groups. Group A received routine care, while group B received comprehensive nursing intervention. Compared the incidence of VAP and clinical efficacy of two groups. Results The incidence and mortality in group A were significantly higher than those in group B （46.0% vs.14.0%, 22.0% vs.4.0%）, with statistically significant differences （P〈0.05）. The duration of mechanical ventilation, length of stay, and the cost of hospitalization in group A were significantly higher than those in group B [（17.13±0.87）d vs.（8.23±0.67）d, （21.25±8.52）d vs.（11.22±8.12）d, （3.67±0.67） × 10000 yuan vs.（2.32±0.37）× 10000 yuan], with statistically significant differences （P〈0.05）. Conclusion Comprehensive nursing intervention has significant effect in elderly patients with ventilator associated pneumonia in ICU, which can effectively reduce the incidence of VAP and mortality, mechanical ventilation time and length of hospital stay, ease the economic burden of patients, worthy of promotion in major hospitals.