集束化护理预防重症患者呼吸机相关性肺炎的VAP情况及ICU时间观察

Aggregated Nursing to Prevent Ventilator-associated Pneumonia in Severe Patients with VAP and ICU Observation

目的分析集束化护理预防重症(ICU)患者呼吸机相关性肺炎的VAP情况及ICU时间。方法择本院2016年8月~2017年8月接收的122例ICU机械通气病患资料,随机分研究组(61例)、对照组(61例);对照组施以常规护理,而研究组为集束化护理,研究两组ICU时间和VAP情况。结果住ICU时间对照组是(23.62±6.75)d,研究组(11.23±4.10)d,研究组住ICU时间短(P<0.05);VAP发生率对照组为29.51%(18/61),研究组11.48%(7/61),对照组VAP发生率高(P<0.05);SF-36中社会功能研究组(69.89±5.33)分,对照组(91.10±6.87)分,研究组分值高(P<0.05)。结论集束化护理应用于ICU的机械通气的病患中,可使VAP发生率降低,能缩短住ICU时间。

Objective To analyze the VAP and ICU time of ventilator-associated pneumonia in intensive care intensive care unit（ICU）.Methods A total of 122 ICU patients with mechanical ventilation received in our hospital from August 2016 to August 2017 were randomly divided into study group（61 cases）and control group（61 cases）.The control group received routine nursing care while the study group For cluster nursing,ICU time and VAP were studied in both groups.Results The ICU time in the control group was（23.62 ± 6.75）d and in the study group（11.23 ± 4.10）days,the ICU time in the study group was shorter（P〈0.05）.The incidence of VAP in the control group was 29.51%（18/61）（11.48%）in the control group（7/61）,the incidence of VAP in the control group was high（P〈0.05）.The SF-36 social functional study group（69.89 ± 5.33）and the control group（91.10±6.87）（P〈0.05）.Conclusions：Cluster nursing is applied to ICU patients with mechanical ventilation,which can reduce the incidence of VAP and shorten the ICU time.