综合护理干预对预防重症监护室机械通气相关性肺炎的临床疗效评价

Evaluation on Clinical Curative Effect of Comprehensive Nursing Intervention on Preventing Ventilator-associated Pneumonia in Intensive Care Unit

目的:评价综合护理干预对预防重症监护室机械通气相关性肺炎的临床疗效。方法:选取重症监护室接受机械通气治疗的患者60例,随机分为对照组30例和观察组30例。对照组给予常规护理干预,观察组在对照组基础上给予综合护理干预。对比两组的临床疗效。结果:观察组干预后机械通气相关性肺炎的发生率(10.00%)较对照组(33.33%)低,差异有统计学意义(P<0.05);观察组干预后口腔清洁评分及APACHEⅡ评分均较对照组低,差异有统计学意义(P<0.05);观察组干预后ICU住院时间及普通病房住院时间均较对照组短,差异有统计学意义(P<0.05)。结论:综合护理干预对重症监护室机械通气相关性肺炎的预防效果好,可降低机械通气相关性肺炎的发生率,改善口腔卫生及APACHEⅡ评分,减少患者住院时间。

Objective:To evaluate clinical clinical curative effect of comprehensive nursing intervention on preventing ventilator-associated pneumonia(VAP)in intensive care unit(ICU).Methods:60 patients undergoing mechanical ventilation who were admitted to ICU.They were divided into control group(n=30)and observation group(n=30)by random number table method.The control group was given routine nursing intervention.On this basis,observation group was given comprehensive nursing intervention.The clinical effects between the two groups were compared.Results:After intervention,incidence of VAP in observation group was lower than in control group(10.00%vs 33.33%)(P<0.05).After intervention,scores of oral cleansing and APACHE II in observation group were lower than those in control group(P<0.05).After intervention,stay time in ICU and hospitalization time in observation group were shorter than those in control group(P<0.05).Conclusion:The preventive effect of comprehensive nursing intervention is good on VAP in ICU,which can reduce incidence of VAP,improve oral hygiene and APACHE II score,reduce hospitalization time.