护理专案降低ICU呼吸机相关性肺炎的临床观察

Clinical Observation on Reducing Ventilator-associated Pneumonia in ICU by Nursing Project

目的 探讨护理专案降低重症监护室呼吸机相关性肺炎的临床效果.方法 选取2018年1月—2018年12月医院重症监护室接收的86例使用呼吸机患者作为研究对象,按随机数字表法将其分为对照组和观察组,每组各43例,对照组患者予以常规护理,研究组予以护理专案干预,护理结束后比较两组患者炎症因子指标水平、机械通气时间、平均住ICU时间、呼吸机相关性肺炎发生率、祛痰效果等具体情况,并记录两组患者家属对护理的满意度情况.结果 观察组各项炎症因子指标水平均明显低于对照组(P<0.05);观察组机械通气时间、平均住ICU时间均低于对照组(P<0.05);观察组患者祛痰效果总有效率(93.02%)明显优于对照组(74.42%),P<0.05;研究组护理总满意度(95.35%)明显高于对照组(76.74%),P<0.05.结论 护理专案对重症监护室机械通气患者具有良好的临床疗效,可有效降低患者呼吸机相关性肺炎发生率,且更易被患者家属所接受.

Objective To explore the clinical effect of nursing project on reducing ventilator-associated pneumonia in intensive care unit.Methods Eighty-six patients who used ventilator in intensive care unit of our hospital from January 2018 to December 2018 were selected as the research objects.They were divided into control group and observation group according to random number table method.43 patients in each group were given routine nursing care.The study group was given special nursing intervention.After nursing,the levels of inflammatory factors,mechanical ventilation time and average ICU stay were compared between the two groups.Time,incidence of ventilator-associated pneumonia and expectorant effect were recorded.Satisfaction degree of family members of two groups to nursing care was recorded.Results The levels of inflammatory factors in the observation group were significantly lower than those in the control group(P<0.05);the duration of mechanical ventilation and average ICU stay in the observation group were lower than those in the control group(P<0.05);the total effective rate of expectoration in the observation group(93.02%)was significantly better than that in the control group(74.42%),P<0.05;and the total satisfaction rate of nursing in the study group(95.35%)was significantly higher than that in the control group(76.74%),P<0.05.Conclusion Nursing program has good clinical effect on patients with mechanical ventilation in intensive care unit.It can effectively reduce the incidence of ventilator-associated pneumonia,and is more acceptable to the family members of patients.