集束化护理干预对ICU人工气道患者机械通气时间及相关并发症发生率的影响

Effect of Bundled Nursing on the Time of Mechanical Ventilation and the Incidence of Complications in ICU Patients with Artificial Airway

目的探讨集束化护理干预对ICU人工气道患者机械通气时间及相关并发症发生率的影响。方法收集2013年1月-2015年8月我院收治的82例ICU人工气道患者为研究对象,随机均分为实验组及对照组,各41例,对照组实施常规护理干预,实验组实施集束化护理干预,观察2组护理效果(以机械通气时间、ICU入院时间评估)、呼吸机相关并发症发生率及30天再入院率。结果实验组机械通气时间、ICU入院时间较对照组明显短,护理干预后实验组呼吸机相关并发症总发生率26.83%、30天再入院率12.20%较对照组明显低,有统计学意义(P<0.05)。结论集束化护理干预可明显缩短ICU人工气道患者机械通气及住院时间,显著降低呼吸机相关并发症发生率及再入院率。

Objective To study the effect of bundled nursing on the time of mechanical ventilation and the incidence of complications in ICU patients with artificial airway..Methoda A total of 82 ICU patients with artificial airway in our hospital from Jan. 2013 to Aug. 2015 were taken as the clinical research objects, and they were randomly divided into study group （41 cases） and control group（41 cases）. The control group was given traditional nursing, and the study group was given bundled nursing. After nursing, the nursing effects（mechanical ventilation time and ICU hospitalization time assessment）, ventilator related complication rates and 30d readmission rates in the two groups were compared. Results The mechanical ventilation time and ICU hospitalization time in the study group were less than those in the control group; the ventilator related complication rate and 30d readmission rate in the study group were respectively 26.83% and 12.20% which were significantly lower than those in the control group, and their differences were statistically significant（P〈0.05）. Conclusion Bundled nursing can not only obviously shorten the mechanical ventilation time and hospitalization time of ICU patients with artificial airway, but also significantly reduce the ventilator related complication rate and readmission rate.