集束化护理干预体系在预防呼吸机相关性肺炎中的研究  

A study on the bundle nursing intervention system for preventing ventilator associated pneumonia

作　　者：梁冬梅[1] 梁焕兰[1] 李智婷[1] 李云玲[1] 

机构地区：[1]肇庆市第一人民医院综合ICU,526021

出　　处：《国际医药卫生导报》2012年第8期1080-1082,共3页International Medicine and Health Guidance News

基　　金：肇庆市科技局立项课题2011E1711

摘　　要：目的研究重症监护室（ICU）运用集束化护理干预体系预防呼吸机相关性肺炎（VAP）的效果，探讨预防VAP有效的护理方法。方法将ICU2010年6月-2011年10月收治的160例行机械通气治疗超过48h的患者随机分为实验组和对照组各80例，实验组采用集束化护理干预体系，对照组采用常规护理，分析集束化护理对机械通气患者的护理效果。结果实验组患者胸部放射线、纤维支气管镜目测检查的好转率明显高于对照组，实验组发生特殊耐药菌感染的病例数明显降低，VAP的发生率南原来的42．55例／1000机械通气日降到19．05例／1000机械通气日，差异有显著性垆〈0．05）。护士执行护理措施的依从性也明显提高。结论集束化护理干预体系能明显降低VAP的发生率和病死率，提高护理质量。Objective To study the effect of the bundle nursing intervention system for preventing ventilator associated pneumonia （VAP） in intensive care unit （ICU）, and the effective nursing method for preventing VAP. Methods 160 patients accepting mechanical ventilation for more than 40 hours from June 2010 to October 2011 in ICU were randomly divided into two groups. 80 patients in the experimental group received bundle nursing intervention and the control group received the routine nursing, and the curative effect of bundle nursing for mechanical ventilation patients were analyzed in two groups. Results The chest radiology, fiberoptic bronchoscope for visual examination of the improvement rate in experimental group were higher than those of the control group, the case number of special drug resistant bacteria infection in experimental group was significantly increased, the occurrence of VAP dropped from 42.55 cases/l@ mechanical ventilation days to 19.05/1000 mechanical ventilation, there was significant difference in these two groups （P〈 0.05）, the nurses＇ compliance to implement care also improved significantly. Conclusion The bundle nursing intervention system can reduce the incidence and mortality of VAP, and improve the nursing quality.

关 键 词：集束化护理 预防 呼吸机相关性肺炎 

分 类 号：R473.5[医药卫生—护理学]