护理风险干预对ICU呼吸窘迫患者呼吸机相关肺炎并发症的影响

Efficacy of nursing risk intervention on complications of ventilator-associated pneumonia patients with respiratory distress syndrome in ICU

目的:分析ICU护理风险干预预防呼吸窘迫综合征患者呼吸机相关性肺炎并发症的影响。方法:以我院ICU科收治的86例急性呼吸窘迫症行机械通气患者为研究对象,采用随机数字表法分为对照组(43例)与观察组(43例),对照组予以常规ICU护理方法,观察组予以ICU护理风险管理,治疗结束后比较两组患者呼吸机相关性肺炎发生情况,并对比两组患者的护理风险事件发生率、护理事件投诉率及护理满意评分、护理质量控制评分。结果:两组呼吸机相关性肺炎总发生率比较,对照组(32.55%)明显高于观察组(13.95%),差异显著(P<0.05);对照组护理满意评分、护理质量评分均显著低于观察组(P<0.05),护理风险事件、护理投诉事件等发生率均显著高于观察组(P<0.05)。结论:ICU护理风险干预可有效降低呼吸窘迫患者呼吸机相关肺炎并发症发生率,并显著降低护理风险事件、投诉事件,提高护理质量。

Objective：To analyze the effect of ICU nursing risk intervention on complications of ventilator-associated pneumonia in patients with respiratory distress syndrome.Methods：86 cases of mechanical ventilation with acute respiratory distress syndrome in ICU department of our hospital were taken as the clinical research objects,and were randomly divided into the control group（43 cases） and the observation group（43 cases）.The control group was given conventional ICU nursing,and the observation group was given ICU nursing risk management.After treatment,the incidence rates of ventilator-associated pneumonia and nursing risk events,nursing incident complaint rates,nursing satisfaction scores and nursing quality control scores in the groups were compared.Results：The incidence rate of VAP was 32.55% in the control group,obviously higher than 13.95% in the observation group,and their difference was statistically significant（P〈0.05）.The scores of nursing satisfaction and nursing quality in the control group were significantly lower than those in the observation group（P〈0.05）.The incidence rate of nursing risk events and nursing incident complaint rate in the control group were significantly higher than those in the observation group（P〈0.05）.Conclusion：ICU nursing risk intervention can not only effectively reduce the ventilator-associated pneumonia in patients with respiratory distress,nursing risk events and nursing incident complaint,but also improve nursing quality.