急诊监护病房呼吸机相关性肺炎的预防及护理干预效果探究

Prevention and Nursing Intervention Effects of Ventilator-associated Pneumonia in the Emergency Care Unit

目的以接受机械通气的患者为研究对象,分析呼吸机相关性肺炎的发生因素,针对性构建预防和护理措施,研究预防和护理效果。方法选择广州医科大学附属中医院同德分院2020年1月-2021年1月急诊监护病房收治的接受机械通气的54例患者为研究对象,基于每位患者所接受预防和护理服务内容的不同,平均分组,各27例,给予研究组患者常规护理联合预防性护理服务,给予对照组常规护理,观察两组患者呼吸机相关性肺炎发生率、APACHEⅡ评分情况和护理满意度。结果相比于接受常规护理的对照组而言,研究组患者呼吸机相关性肺炎发生率更低、APACHEⅡ评分情况更理想,护理满意度显著优于对照组(P<0.05)。结论给予接受机械通气的患者常规护理联合预防性护理服务,相比于给予患者常规护理模式而言,效果更理想,作用更明显,不仅能降低呼吸机相关性肺炎的发生率,优化患者APACHEⅡ评分情况,同时,也能够显著提升患者护理满意度,值得大范围推广。

Objective To analyze the causes of ventilator-associated pneumonia in patients receiving mechanical ventilation,to construct preventive and nursing measures targeted,and to study the prevention and nursing effects.Methods 54 patients receiving mechanical ventilation in the emergency care unit of our hospital between January 2020 and January 2021 were selected for the study,based on the preventive and nursing services each patient received.The content of the services was different,and the average group contains 27 patients.Routine care combined with preventive nursing services was given to patients in the study group,while routine care was given to the control group,and the incidence of ventilator-associated pneumonia,APACHE II score situation and nursing satisfaction of patients in the two groups were observed.Results Compared with the control group who received routine care,the incidence of ventilator-associated pneumonia was lower in the study group.And APACHE II scores were more desirable and nursing satisfaction was significantly better than that of the control group,P<0.05.Conclusion Patients receiving mechanical ventilation were given usual care combined with preventive nursing services,which resulted in a more desirable effect than usual care modes and a more pronounced effect,not only reducing the incidence of ventilatorassociated pneumonia but also optimizing APACHE II scores in patients,and at the same time,it is also able to significantly improve patient care satisfaction,which deserves extensive promotion.