早期护理干预在机械通气患者中的应用及效果观察  

Application of early nursing intervention to the patients with mechanical ventilation and observation on its effect

作　　者：鲁桂英[1] 程文丽[1] 罗瑜[1] 

机构地区：[1]川北医学院附属医院,四川南充637000

出　　处：《齐鲁护理杂志（上旬刊）》2012年第9期4-5,共2页Journal of Qilu Nursing

摘　　要：目的:探讨早期护理干预在机械通气患者中的应用及临床效果。方法:将2006年1月～2007年12月收治的342例机械通气患者作为对照组,给予常规护理;将2008年1月～2009年12月收治的342例机械通气患者作为护理组,在常规护理基础上给予护理干预。比较两组送检标本细菌检出阳性率、呼吸机相关肺炎(VAP)发生率、机械通气时间及ICU住院时间。结果:护理组送检标本细菌培养阳性率为37%,对照组阳性率为45%;护理组VAP发生率低于对照组(P<0.05),机械通气时间及ICU住院时间少于对照组(P<0.05)。结论:早期护理干预可以降低机械通气患者VAP发生率,缩短机械通气时间及ICU住院时间,促进患者康复。Objective ： To explore the application of early nursing intervention to the patients with mechanical ventilation and the clinical effect. Methods ：342 patients with mechanical ventilation （ admitted from January 2006 to December 2007 ] were taken as the control group and given routine nursing care ; other 342 patients with mechanical ventilation （ admitted from January 2008 to December 2009 ] were taken as the nursing group and additionally given nursing intervention based on the routine one. The positive rate of specimens for bacterial culture,the incidence of ventilator associated pneumonia （ VAP ） , duration of mechanical ventilation and the length of stay in ICU were compared between the two groups. Results ：The positive rate of specimens for bacterial culture was 37% in the nursing group and 45% in the control group ; the incidence of VAP was lower in the nursing group than that in control group （ P 〈 0.05 } ; the duration of mechanical ventilation and the length of stay in ICU was shorter in the nursing group than that in the control group （ P 〈 0.05 ）. Conclusion： The early nursing intervention can reduce the incidence of VAP in patients with mechanical ventilation and can shorten the duration of mechanical ventilation and the length of stay in ICU so as to promote the rehabilitation of patients.

关 键 词：护理干预 机械通气 呼吸机 肺炎 

分 类 号：R473.5[医药卫生—护理学]