综合ICU呼吸机相关性肺炎患者的护理干预研究

Study on the nursing intervention for patients with ventilator-associated pneumonia in comprehensive ICU

目的探讨ICU呼吸机相关性肺炎(VAP)患者采取护理干预的应用价值。方法研究对象为2017年1月至2019年12月在深圳市中西医结合医院ICU接受治疗的使用呼吸机的患者462例,其中2017年136例,2018年173例,2019年153例。2019年实施护理干预,将实施护理干预前后患者的VAP发生率进行比较。结果本院ICU住院患者中呼吸机使用例数为462例,使用呼吸机时间2514 d,共出现VAP 33例(13.13%),ICU患者呼吸机使用率呈先上升后下降的趋势,差异有统计学意义(P<0.05)。VAP的发生率呈先上升后下降趋势,差异有统计学意义(P<0.05)。2019年患者总满意度为92.81%(142/153),2018年患者总满意度为85.55%(148/173),2017年患者总满意度为77.21%(105/136)。2019年明显高于2017、2018年,差异有统计学意义(P<0.05)。结论强化综合ICU呼吸机患者的护理干预工作,做好相关护理措施,有助于减少VAP的发生风险。

Objective To explore the application value of nursing intervention for patients with ventilatorassociated pneumonia(VAP)in comprehensive ICU.Methods A total of 462 patients with ventilator in ICU of Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine from January 2017 to December 2019 were selected.There were 136 patients in 2017,173 patients in 2018 and 153 patients in 2019 in the ICU.The nursing intervention was implemented in 2019,and the incidence rate of VAP of patients before and after the nursing intervention was compared.Results A total of 462 ICU inpatients that used ventilators in our hospital used ventilators for 2514 days,and 33 cases(13.13%)of VAP occurred during the period.The use rate of ventilator in ICU patients increased first and then decreased,with statistically significant difference(P<0.05).The incidence of VAP increased first and then decreased,with statistically significant difference(P<0.05).The patient's total satisfaction was 92.81%(142/153)in 2019,85.55%(148/173)in 2018 and 77.21%(105/136)in 2017.The patient's total satisfaction in 2019 was significantly higher than that in 2017 or 2018,with statistically significant differences(P<0.05).Conclusion Strengthening the nursing intervention for patients with ventilator in comprehensive ICU and taking relevant nursing measures are helpful to reduce the occurrence risk of VAP.