人文关怀护理对ICU VAP患者死亡率的影响

Effect of Human Care on Mortality in Patients With ICU VAP

目的探讨人文关怀护理在ICU呼吸机相关性肺炎(VAP)患者中的护理效果及对死亡率的影响。方法选择2016年5月—2018年2月黑龙江省医院ICU治疗的机械通气患者74例作为对象,随机数字表分为对照组和观察组各37例。对照组给予常规护理,观察组采用人文关怀护理,比较两组呼吸机相关性肺炎、并发症及死亡率和依从性。结果观察组护理后ICU呼吸机相关性肺炎、并发症及死亡率,均低于对照组(P <0.05);观察组护理后15 d白细胞计数、降钙素原及C反应蛋白水平,均低于对照组(P <0.05)。结论将人文关怀护理用于机械通气患者中能降低ICU呼吸机相关性肺炎、并发症及死亡率,能降低炎症因子水平。

Objective To explore the effect of human care nursing on patients with ICU ventilator-associated pneumonia(VAP)and its impact on mortality.Methods A total of 74 patients with mechanical ventilation treated by ICU in Heilongjiang province,from May 2016 to February 2018 were enrolled.The random number table was divided into control group and observation group.The control group received routine care,and the observation group used human care to compare ventilatorassociated pneumonia,complications,mortality,and compliance.Results The ventilator-associated pneumonia,complications and mortality in the observation group were lower than those in the control group(P<0.05).The white blood cell count,procalcitonin and C-reactive protein levels were low in the observation group 15 days after nursing.In the control group(P<0.05).Conclusion The use of human care in mechanical ventilation patients can reduce ICU ventilatorassociated pneumonia,complications and mortality,and can reduce the level of inflammatory factors.