品管圈模式预防呼吸机相关性肺炎的护理效果

Nursing eff ect of quality control circle mode in preventing ventilator-associated pneumonia

目的探讨品管圈模式下维持最小闭合容量气囊压预防呼吸机相关性肺炎的护理效果。方法选取2020年7月—2021年7月惠州市第三人民医院接收的140例在综合ICU住院并建立人工气道患者作为研究对象,按照组间基本特征均衡可比的原则分为对照组和观察组,每组70例。对照组给予常规护理,观察组给予品管圈护理模式。对比两组机械通气时间、ICU住院时间及VAP的发生情况,最小闭合容量气囊压达标率以及患者护理满意度。结果观察组机械通气时间为5.56±1.53 d、ICU住院时间6.36±1.54 d,分别低于对照组的10.62±1.78 d和11.52±2.20 d(P<0.05);观察组最小闭合容量气囊压达标率高达97.14%,高于对照组78.57%(P<0.05)。VAP发生6例,占比8.57%,低于对照组的22.86%(P<0.05);观察组护理满意度评分各个条目均高于对照组(P<0.05)。干预后,观察组精力、角色功能、躯体功能、心理健康、总体健康指标改善情况均优于对照组,差异具有统计学意义(P<0.05)。结论品管圈护理模式下通过有效地维持最小闭合容量气囊压从而降低VAP发生率,还可以缩短机械通气时间与ICU住院时间,促进患者自主通气与早日康复,提高患者生活质量。

Objective To explore the nursing eff ect of maintaining the minimum closed volume balloon pressure in the prevention of ventilator-associated pneumonia in the quality control circle mode.Methods A total of 140 patients admitted to the Third People's Hospital of Huizhou who were hospitalized in the comprehensive ICU and established an artifi cial airway from July 2020 to July 2021were selected as the study objects.According to the principle of balance and comparability of basic characteristics between groups,they were divided into a control group and an observation group,with 70 cases in each group.The control group was given routine nursing,and the observation group was given the quality control circle nursing mode to compare the mechanical ventilation time,ICU stay time and the occurrence of VAP,the minimum closed volume balloon pressure compliance rate and the patient's nursing satisfaction between the two groups.Results The mechanical ventilation time in the observation group was 5.56±1.53 days and the ICU hospitalization time was 6.36±1.54 days,which were lower than 10.62±1.78 days and 11.52±2.20 days in the control group,respectively(P<0.05).The minimum closed volume balloon pressure compliance rate in the observation group was as high as 97.14%,which was higher than 78.57%in the control group(P<0.05).VAP occurred in 6 cases,accounting for 8.57%,which was lower than 22.86%of the control group(P<0.05);the nursing satisfaction scores of the observation group were higher than those of the control group(P<0.05).After the intervention,the improvement of vitality,role function,physical function,mental health,and general health indicators in the observation group were better than those in the control group,and the diff erences were statistically signifi cant(P<0.05).Conclusion The quality control circle nursing mode can eff ectively maintain the minimum closed volume airbag pressure to reduce the incidence of VAP,shorten the time of mechanical ventilation and ICU stay,promote patients'autonomous ventilation and early recovery,and improve the quality of life of patients.