综合护理对ICU重症患者呼吸机相关性肺炎发生率及患者病死率的影响观察

Effects of comprehensive nursing on ventilator associated pneumonia and mortality in ICU patients with critically ill

目的:探究ICU重症患者应用综合护理对于呼吸机相关性肺炎发生率、病死率的影响。方法:在2016年2月-2017年8月在我院ICU接受治疗的重症患者中选出86例,均给予机械通气,随机分组,对照组给予常规护理措施,观察组在此基础上给予综合护理,对比两组的病死率以及呼吸机相关性肺炎发生率。结果:观察组的ICU病死率(4.65%)明显低于对照组的20.93%,P<0.05;剔除死亡患者,观察组的机械通气时间短于对照组,且VAP发生率低于对照组,P<0.05。结论:综合护理应用于ICU重症患者中安全可行,能预防呼吸机相关性肺炎发生,促进患者康复。

Objective:To explore the effect of comprehensive nursing on mortality of ventilator-associated pneumonia in critically ill patients in ICU.Methods:86 cases were selected from February 2016 to August 2017 in severe ICU patients in our hospital,were given mechanical ventilation,were randomly divided into two groups.The control group was given routine nursing,and the observation group was given comprehensive nursing.Results:The mortality rate of ICU in the observation group was 4.65%,significantly lower than 20.93%in the control group,P<0.05;except death patients,the mechanical ventilation time was shorter in the observation group,and the incidence of VAP was lower than the control group,P<0.05.Conclusion:Comprehensive nursing is safe and feasible in the treatment of severe ICU patients.It can prevent from ventilator associated pneumonia and promote the rehabilitation.