我国三甲医院呼吸机相关性肺炎发生率现状调研

Investigation on the Incidence of Ventilator-Associated Pneumonia in Tertiary Hospitals in China

目的 回顾性分析2014年-2019年我国三甲医院呼吸机相关性肺炎发生率情况及变化趋势,为政策制定提供参考。方法 从国家护理质量数据平台获取2014年—2019年305所三甲医院呼吸机相关性肺炎发生率数据,使用Stata 14.0软件进行分析。结果 2014年—2019年,我国三甲医院呼吸机相关性肺炎发生率呈逐年下降趋势。中部和西部地区医院呼吸机相关性肺炎发生风险高于东部地区;编制床位数为>1000张~≤2000张医院呼吸机相关性肺炎发生风险高于≤1000张床位医院;呼吸机相关性肺炎发生率呈现季节性变化。结论 我国三甲医院呼吸机相关性肺炎发生率仍有改进空间,可从地区差异、床位规模以及季节性变化三方面入手制定干预措施。

Objective The incidence and trend of ventilator-associated pneumonia in tertiary hospitals in China from 2014 to 2019 were retrospectively analyzed to provide reference for policy making.Methods The incidence of ventilator-associated pneumonia in 305 tertiary hospitals from 2014 to 2019 was collected from the National Nursing Quality Data Platform,and the data were analyzed using Stata 14.0 software.Results From 2014 to 2019,the incidence of ventilator-associated pneumonia in tertiary hospitals in China was decreasing year by year.The risk of ventilator-associated pneumonia in central and western China was higher than that in eastern China.The risk of ventilator-associated pneumonia in hospitals with beds>1000 to≤2000 was higher than that in hospitals with beds≤1000.The incidence of ventilator-associated pneumonia showed seasonal variation.Conclusion There was still room for improvement in the incidence of ventilator-associated pneumonia in tertiary hospitals in China,and intervention measures can be developed from three aspects:regional differences,bed size and seasonal variations.