重症监护室呼吸机相关性肺炎的影响因素及标准化护理对策研究

Study on the Influencing Factors and Standardized Nursing Strategies of Ventilator-associated Pneumonia in Intensive Care Unit

目的:探究重症监护室呼吸机相关性肺炎的影响因素,提出标准化护理对策并对其应用效果进行评价。方法:分析60例重症监护室呼吸机治疗患者(2019年1月至2020年12月收治)临床资料,统计重症监护室呼吸机相关性肺炎发生率,分析影响因素,评价标准化护理效果。结果:60例患者,12例发生重症监护室呼吸机相关性肺炎,发生率20.00%;发生组与未发生组在年龄、昏迷、机械通气时间、留置胃管、气管切开、基础疾病、白蛋白水平等方面差异有统计学意义(P<0.05);观察组炎性反应指标水平低于对照组(P<0.05),机械通气时间、住院时间短于对照组(P<0.05),生活质量评分高于对照组(P<0.05),呼吸机相关性肺炎发生率低于对照组(P<0.05)。结论:重症监护室呼吸机相关性肺炎的发生受多因素影响,在患者治疗期间应对存在危险因素患者高度重视,为其提供标准化综合护理,以降低其呼吸机相关性肺炎发生率,改善其生活质量,促进其健康恢复。

Objective:To explore the influencing factors of ventilators associated pneumonia in intensive care units,put forward standardized nursing strategies and evaluate their application effect.Methods:The clinical data of 60 patients treated with ventilators in intensive care unit(January 2019 to December 2020) we re analyzed,the incidence of ve ntilators associated pneumonia in intensive care unit was statistically analyzed,the influencing factors were analyzed,and the standardized nursing effect was evaluated.Results:Among 60 patients,12 patients developed ventilator-associated pneumonia in intensive care unit(20.00%).There were statistically significant differences in age,coma,mechanical ventilation time,indwelling gastric tube,tracheotomy,underlying diseases and albumin level between the occurrence group and the non-occurrence group(P<0.05).The inflammatory response index of observation group was lower than that of control group(P<0.05),mechanical ventilation time and hospitalization time were shorter than that of control group(P<0.05),quality of life score was higher than that of control group(P<0.05),and the incidence of ventilator-associated pneumonia was lower than that of control group(P<0.05).Conclusion:The occurrence of ventilator-associated pneumonia in intensive care unit is affected by multiple factors.Patients with risk factors should be highly valued during treatment,and standardized comprehensive care should be provided for them to reduce the incidence of ventilator-associated pneumonia,improve their quality of life and promote their health recovery.