分析综合护理干预在预防ICU重症患者呼吸机相关性肺炎中的临床效果

Analysis of the clinical effect of comprehensive nursing intervention on preventing ventilator-associated pneumonia in critically ill patients from ICU

目的:探究综合护理干预在预防ICU重症患者呼吸机相关性肺炎(VAP)中的临床效果。方法:选取2017年9月-2019年9月ICU重症患者92例,随机分为两组,各46例。对照组实施传统护理;试验组给予综合护理干预。比较两组干预效果。结果:试验组呼吸机使用时间、ICU治疗时间及住院时间均显著短于对照组,VAP发生率低于对照组,护理满意度高于对照组,差异均有统计学意义(P<0.05)。试验组SaO2、PaO2、PaCO2等指标水平均优于对照组,差异有统计学意义(P<0.05)。结论:综合护理干预可有效预防ICU重症患者呼吸机相关性肺炎的发生率,能够有效缩短患者住院时间,改善血气指标水平,提升整体护理满意度。

Objective:To explore the clinical effect of comprehensive nursing intervention in the prevention of ventilator-associated pneumonia(VAP)in critically ill patients from ICU.Methods:From September 2017 to September 2019,92 cases of critically ill patients from ICU were enrolled,they were randomly divided into two groups with 46 cases in each group.The control group implemented traditional nursing.The experimental group was given comprehensive nursing intervention.The nursing efficacy between the two groups was compared.Results:The use time of ventilator,the ICU treatment time and the length of hospital stays in the experimental group were significantly shorter than those in the control group,the incidence of VAP was lower than the control group,the nursing satisfaction was higher than the control group,the differences were statistically significant(P<0.05).The indicator levels of SaO2,PaO2,PaCO2 and others in the experimental group were better than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Comprehensive nursing intervention can effectively prevent the incidence of ventilator-associated pneumonia in critically ill patients from ICU,it can effectively shorten the length of hospital stays and improve the blood gas index level and the overall nursing satisfaction of patients.