ICU护士实施床头抬高依从性干预对机械通气患者的影响因素分析

Analysis of Influencing Factors of Implementing Bedside Heig htening Compliance Intervention by ICU Nurses on Mechanical Ventilation Patients

目的探究ICU护士实施床头抬高依从性干预对机械通气患者的影响因素。方法选取2015年11月～2016年11月ICU收治实施常规护理的机械通气患者45例作为对照组。选取2016年12月～2017年12月ICU收治实施床头抬高依从性干预的机械通气患者45例作为观察组。比较两组不同时间段床头抬高依从性及呼吸机相关性肺炎发生率。结果观察组干预1个月后在上午8:00～9:00,下午14:00～15:00,晚上20:00～21:00与凌晨2:00～3:00 4个时间段床头抬高依从性均高于对照组,差异有统计学意义(P<0.05);观察组呼吸机相关性肺炎发生率低于对照组,差异有统计学意义(P<0.05)。结论 ICU护士实施床头抬高依从性干预能够有效提高机械通气患者床头抬高依从性,减少呼吸机相关性肺炎的发生。

Objective To investigate the influence factors of implementing bedside elevation compliance intervention by ICU nurses on mechanical ventilation patients. Methods 45 patients without mechanical ventilation who were treated in the ICU from November 2015 to November 2016 were selected as the control group. In addition, the bedside elevation compli ance compliance was adopted from December 2016 to December 2017 in the ICU. 45 patients with mechanical ventilation as observation group. The bedside elevation compliance and the incidence of ventilator--associated pneumonia were compared between the two groups. Results Observing group After 4 months of intervention in the morning, 8 ： 00- 9 ： 00, 14 ： 00- 15 ： 00 in the afternoon, 20 ： 00- 21 ： 00 in the evening and 2 ： 00- 3 ： 00 in the morning, etc. The compliance of head elevation was higher than that of the control group （P〈0.05）. The incidence of ventilator-associated pneumonia in the observation group was lower than that of the control group, and the difference was statistically significant （P〈0.05）. Conclusion The implementation of bedside elevation compliance intervention by ICU nurses can effectively improve the compliance of bedside elevation in patients with mechanical ventilation and reduce the occurrence of ventilator-associated pneumonia in patients with mechanical ventilation. It is worth promoting.