循证护理在预防呼吸机相关性肺炎中的应用

Evidence-Based Nursing in Prevention of Ventilator Associated Pneumonia

目的探究循证护理在预防呼吸机相关性肺炎中的作用。方法将某医院呼吸内科2016年1至3月收住入院的60例行机械通气患者随机分成32例试验组,28例对照组,试验组常规护理上进行循证护理,主要措施为采取半卧位(即抬高床头30°~45°);采取幽门下营养;患者"必要时"给予气道吸痰。结果试验组呼吸机相关性肺炎的发生率及病死率均低于对照组。结论运用循证护理能有效降低呼吸机相关性肺炎的发生率,提高护理质量。

Objective To explore the effect of evidence-based nursing in prevention of ventilator associated pneumonia(VAP).Methods Random sampling was used to recruit60patients underwent mechanical ventilation in respiratory department from January to March,2016.32patients were divided into trial group with evidence-based nursing and28into control group with routine nursing care.Intervention measures mainly included semi-recumbent position(raising the head of bed to30°-45°),postpyloric nutrition,and removal of subglottic secretions when necessary.Results The incidence and mortality of VAP were lower in the trial group than those in the control group.Conclusion Evidencebased nursing can effectively reduce the incidence of VAP and improve the quality of nursing.