预防呼吸机相关性肺炎的集束化护理措施

Cluster nursing measures in prevention of ventilator-associated pneumonia

目的探讨预防呼吸机相关性肺炎(VAP)的集束化护理措施。方法选择本院ICU行机械通气治疗的104例患者作为研究对象,以随机数字表将其分为对照组与研究组各52例。对照组采取常规机械通气护理方案,研究组在此基础上实施集束化护理干预。观察对比2组机械通气患者VAP的发生率、气管切开率与病死率,以及ICU入住时间、机械通气时间与住院费用。结果研究组机械通气患者VAP的发生率、气管切开率与病死率均低于对照组(P<0.05);研究组机械通气患者ICU入住时间、机械通气时间与住院费用均低于对照组(P<0.05)。结论集束化护理措施能够有效预防VAP的发生,缩短机械通气、住院费用、ICU入住时间,降低气管切开率与病死率,进一步保证了患者的就医质量。

Objective To explore cluster nursing measures in prevention of ventilator-asso- ciated pneumonia （VAP）. Methods A total of 104 patients in ICU treated with mechanical ventila- tion were divided into control group and study group, with 52 cases per group. The control group a- dopted routine mechanical ventilation nursing, while the study group implemented cluster nursing in- tervention. The incidence of VAP, tracheotomy rate and mortality, and ICU stay time, mechanical ventilation time and hospitalization cost were compared between the two groups. Results The inci- dence of VAP, tracheotomy rate and mortality in the study group were lower than that of control group （P 〈 0.05 ）. The ICU stay time, mechanical ventilation time and hospitalization cost were lower in the study group than that in the control group （P 〈 0.05 ）. Conclusion Cluster nursing measure can effectively prevent the occurrence of VAP, shorten the mechanical ventilation, and ICU stay time, re- duce hospital costs, the rate of tracheotomy and mortality, and further ensure medical quality of pa- tients.