护理干预对ICU重症患者呼吸机相关性肺炎发生的影响  

Influence of Nursing Intervention on the Occurrence of ICU Severe Patient's Ventilator-associated Pneumonia

作　　者：叶良玉[1] 徐效峰[1] 吴小青[1] 肖春莲[1] 叶莉[1] 施海红[1] 顾海波[1] 田方[1] 周秋玲[1] 李莉[1] 张友惠[1] 董临江[1] 

机构地区：[1]深圳市宝安人民医院护理部,广东深圳518101

出　　处：《护理学报》2006年第7期1-3,共3页Journal of Nursing（China）

基　　金：2004年深圳市科技局立项课题(200404195)

摘　　要：目的探讨护理干预对ICU重症患者呼吸机相关性肺炎(VAP)发生的影响。方法将149例机械通气患者分为干预组75例和对照组74例。对照组按常规护理,干预组除实施常规护理外,改进了护理举措。比较两组治疗效果、VAP发生率及机械通气时间。结果通气前、后,组内、组间比较,各项血气监测指标均有改善(P<0.05)。干预组发生VAP 16例(21%),对照组发生VAP 27例(36%),干预组明显低于对照组(P<0.05)。机械通气时间干预组为(116.98±83.85)h,对照组为(145.23±89.20)h,干预组较对照组明显缩短(P<0.05)。结论在危重患者机械通气治疗期间,实施改进的护理干预措施,有助于缩短机械通气时间和降低VAP发生率。Objective To study influence of nursing intervention on the occurrence of ICU severe patient＇s ventilator-associated pneumonia（VAP）. Methods 149 patients receiving mechanical ventilation were divided into nursing intervention group（n=75） and control group（n=74）. In control group, patients were given conventional nursing, while in nursing intervention group, patients were given nursing intervention and nursing measures were improved. Curative effects, occurrence of VAP and time of ventilation of two groups were compared. Results All indexes of blood and air of patients were improved within and between groups after ventilation （P〈0.05）. 16 cases （21%） of VAP were found in nursing intervention group, which were significantly lower than 27 cases（36%） of VAP in control group（P〈0.05）. The time of ventilation was（116.98±83.85）h in nursing intervention group, which was significantly shorter than （145.23±89.20）h in control group（P〈0.05）. Conclusion During the time when severe patients were given mechanical ventilation, the implementation of improved nursing intervention can shorten the time of ventilation and reduce the occurrence of VAP.

关 键 词：呼吸机相关性肺炎 危重患者 护理 干预 

分 类 号：R563.1[医药卫生—呼吸系统]