集束化护理对呼吸机相关性肺炎的预防效果

Prevention effect of cluster nursing care for ventilator associated pneumonia

目的探讨集束化护理对呼吸机相关性肺炎(VAP)的预防效果。方法选择行机械通气治疗的患者100例,以随机数字表分为研究组与对照组各50例。对照组采取常规护理干预,研究组采取集束化护理干预,对比2组VAP发生率、病死率、撤机时间、住院时间及护理质量。结果研究组VAP发生率为10.00%、病死率为4.00%,分别低于对照组30.00%、16.00%(P<0.05);研究组撤机时间与住院时间均短于对照组(P<0.05);研究组管道护理管理、气管护理管理、环境护理管理、患者自身因素护理管理评分均高于对照组(P<0.05)。结论集束化护理在VAP预防管理工作中具有重要意义,可有效降低VAP发生率与病死率,缩短撤机时间与住院时间,完善护理质量,适于在临床应用。

Objective To study the efe ct of cluster nursing in prevention of ventilator asso-ciated pneumonia （ VAP）. Metliods A total of 100 mechanical ventilation patients were divided into study group and control group with 50 cases in each group. The control group took tervention, the study group took cluster nursing intervention. VAP incidence, mortality, withdraw machine time, length of hospital stay and nursing quality were compared. Results The incidence ofVAP in the study group was 10. 00%, mortality was 4. 0 0 % , which were lower than 30. 0 0 % ,16.00%in the control group （P 〈0.05）. Withdraw machine time and hospital stay control group （P 〈 0. 05 ） . Pipeline nursing management,airway nursing management,environment management,the patient’s own factor scores were higher than that in the control group （P 〈0？ 05）.Conclusion The cluster nursing management in the prevention of VAP has important application sig-nificance , and it can effectively reduce the incidence and mortality of V A P, shorten the withdraw ma-chine time and hospitalization time, improve the nursing quality and is suitable for tion.