针对性护理对ICU呼吸机相关性肺炎发生率及临床护理满意度的影响

Effect of targeted nursing on incidence of ventilator-associated pneumonia in ICU and clinical nursing satisfaction

目的探讨针对性护理对ICU呼吸机相关性肺炎发生率及临床护理满意度的影响。方法选取2017年8月~2018年8月我院ICU患者60例,随机分为两组:一组常规性护理组(30例),一组针对性护理组(30例),统计分析两组患者的肺功能、呼吸机相关性肺炎发生情况、机械通气时间、入住ICU时间、总住院时间、临床护理满意度。结果和治疗前相比,两组患者治疗后的FEV1、FEV1/FVC均显著升高(P<0.05);治疗后和常规性护理组相比,针对性护理组患者的FEV1、FEV1/FVC均显著升高(P<0.05)。针对性护理组患者的呼吸机相关性肺炎发生率10.0%(3/30)显著低于常规性护理组33.3%(10/30),差异有统计学意义(P<0.05),机械通气时间、入住ICU时间、总住院时间均显著短于常规性护理组(P<0.05),临床护理满意度评分显著高于常规性护理组(P<0.05)。结论针对性护理较常规性护理更能有效降低ICU呼吸机相关性肺炎发生率,提升临床护理满意度。

Objective To explore the effect of targeted nursing on the incidence of ventilator-associated pneumonia in ICU and clinical nursing satisfaction.Methods Sixty ICU patients were randomly selected from August 2017 to August 2018.They were randomly divided into two groups:Routine nursing group(30 cases)and targeted nursing group(30 cases).The pulmonary function,incidence of ventilator-associated pneumonia,mechanical ventilation time,ICU stay time,total hospitalization time and clinical nursing satisfaction were analyzed.Results Compared with before treatment,FEV1 and FEV1/FVC of the two groups increased significantly after treatment(P<0.05);FEV1 and FEV1/FVC of the targeted nursing group increased significantly after treatment compared with the conventional nursing group(P<0.05).The incidence of ventilator-associated pneumonia in the targeted nursing group was 10.0%(3/30)significantly lower than that in the conventional nursing group 33.3%(10/30),P<0.05.The duration of mechanical ventilation,ICU stay and total hospital stay in the targeted nursing group were significantly shorter than those in the conventional nursing group(P<0.05),and the score of clinical nursing satisfaction was significantly higher than that in the conventional nursing group(P<0.05).Conclusion Targeted nursing is more effective than routine nursing in reducing the incidence of ventilator-associated pneumonia in ICU and improving the satisfaction of clinical nursing.