循证护理在RICU病房中预防呼吸机相关性肺炎的效果研究

Study of evidence-based nursing intervention on prevention of ventilator-associated pneumonia in RICU ward

目的:探讨循证护理在RICU病房中预防呼吸机相关性肺炎(VAP)的临床效果。方法:选取2014年12月至2016年12月期间我院RICU病房住院治疗并予呼吸机行机械通气的84例患者,按照随机原则平均分为2组,予以常规护理的对照组和予以循证护理干预的观察组各42例,对比2组患者在不同护理模式下的VAP发生率、延迟出院率以及护理满意度。结果:观察组的VAP发生率与延迟出院率分别为9.52%、16.67%,均低于对照组30.95%,40.48%(P<0.05);观察组对其所接受的护理程序较为满意,满意度为95.24%,优于对照组66.67%(P<0.05);此外观察组生活质量评分包括精力、睡眠情感、躯体活动、社会生活(8.43±1.55,8.39±1.51,9.04±0.78,8.13±1.07)远高于对照组(5.61±1.76,5.28±1.63,5.24±1.33,5.67±1.46)(P<0.05)。结论:循证护理模式能有效降低RICU病房中呼吸机相关性肺炎的发生率,减少患者延迟出院比例,提高患者及患者家属对护理工作的满意度。

[Objective]To study the application and intervention effect of evidence-based nursing in the prevention of VAP for RICU patients. [Method]84 patients of adopting the mechanical ventilation from December 2014 to December 2016 in our RICU department were selected. The subjects were randomly and equally divided into two groups,42 cases each group. The control group took the general care; the observation group took the evidence-based nursing. The incidence rate of VAP,rate of delayed discharge and nursing satisfaction for two groups were comapred. [Result]The incidence of VAP and delayed discharge rate of the observation group were 9. 52% and 16. 67%,respectively,which were lower than those in the control group,P < 0. 05; the observation group was satisfied with the accepted nursing procedure,the satisfaction evaluation was 95. 24%,which was better than that of the control group 95. 24%,P < 0. 05. In addition,the observation group quality of life scores including emotional energy,sleep,physical activity,social life(8. 43 + 1.55,8. 39 + 1. 51,9. 04 + 0. 78,8. 13 + 1. 07) is much higher than these of control group(5. 61 + 1. 76,5. 28 + 1. 63,5. 24 + 1. 33,5. 67 + 1. 46)(P < 0. 05). [Conclusion] Evidence-based nursing can efficiently reduce the incidence rate of VAP,decrease the rate of delayed discharge,improve the patient and family's satisfaction.