集束化护理对急危重症监护室机械通气患者呼吸机相关性肺炎的预防效果

Effect of Bundle Nursing on Preventing VAP in Patients with Mechanical Ventilation in ICU

目的观察分析在急危重症监护室(ICU)机械通气患者住院期间给予集束化护理对呼吸机相关性肺炎(VAP)的预防效果。方法回顾性分析2023年1月-12月本院ICU接收的87例机械通气的患者,住院期间给予常规护理的患者归入对照组,给予集束化护理的患者归入试验组,随机分为对照组与试验组。对照组给予常规护理,试验组给予集束化护理,比较两组临床指标、VAP发生情况及血气分析指标。结果与对照组相比,试验组患者机械通气时间、ICU住院时长及总住院时长均更短,P<0.05。护理后,与对照组相比,试验组患者SaO_(2)、PaO_(2)较高,PaCO_(2)较低,P<0.05。相比对照组,试验组VAP发生率明显较低,P<0.05。结论集束化护理可有效缩短ICU患者机械通气时间及住院时长,促进血气分析指标恢复正常,减少VAP。

Objective:To observe and analyze the effect of cluster nursing on ventilator associated pneumonia(VAP)in ICU with mechanical ventilation during hospitalization.Methods:A retrospective analysis of 87 cases of mechanical ventilation in our ICU from January to December 2023 was made.The clinical data,VAP and blood gas analysis were compared between the two groups.Results:Compared with the control group,the duration of mechanical ventilation,the length of ICU stay and the total length of hospital stay in the experimental group were shorter(P<0.05).After nursing,compared with the control group,the patients in the test group had higher SaO_(2),PaO_(2) and lower PaCO_(2)(P<0.05).Compared with the control group,the incidence of VAP in the experimental group was significantly lower(P<0.05).Conclusion:Cluster nursing can effectively shorten the duration of mechanical ventilation and hospital stay,promote blood gas analysis index to return to normal,and reduce VAP.