集束化护理干预预防ICU呼吸机相关性肺炎效果分析

Effect of Cluster Nursing Intervention on Prevention of Ventilator-associated Pneumonia in ICU Patients

目的:研讨集束化护理干预预防重症监护室(ICU)呼吸机相关性肺炎的效果。方法:2015年1月至2016年4月ICU收治呼吸机相关性肺炎患者50例,随机分为观察组和对照组各25例,对照组采用常规护理模式,观察组在常规护理的基础上实施集束化护理。比较两组护理效果。结果:观察组机械通气时间、平均住ICU时间均短于对照组,差异具有统计学意义(P<0.01);满意率情况与呼吸机相关性肺炎发生率高于对照组,差异具有统计学意义(P<0.05);护理质量优于对照组,差异具有统计学意义(P<0.01)。结论:集束化护理干预预防ICU呼吸机相关性肺炎有利于改善患者的祛痰效果,有效缩短住院时间,提高患者的满意度。

Objective To study the effect of cluster nursing intervention on prevention of intensive care unit ventilator associated pneumonia. Methods From April 2015 to April 2016, 50 patients with ventilator-associated pneumonia were randomly divided into observation group and control group （25 cases）. The control group was treated with routine nursing model. The observation group was treated with routine nursing. The effect of two groups of nursing was compared. Results In the observation group, mechanical ventilation time, average length of stay in ICU were shorter than that of the control group （P 〈 0.01）; satisfaction rate and ventilator- associated pneumonia incidence was higher than that of the control group （P 〈 0.05）; nursing quality was better than that of the control group （P 〈 0.01）. Conclusion Cluster nursing intervention prevention of ventilator-associated pneumonia in ICU for patients to improve the expectorant effect, effectively shorten the hospitalization time, improve patient satisfaction, worthy of clinical promotion.