神经重症疾病患者并发医院获得性肺炎的护理防控操作规范探讨  

The practice standards in prevention and control of severe neurological disease complicated with Hospital-Acquired Pneumonia

作　　者：刘芳[1] 高岚[2] 霍春暖[3] 魏娜[1] 杨倩倩[1] 杜鸿雁[2] 梁涛 杨莘[5] 

机构地区：[1]首都医科大学宣武医院神经内科ICU,北京市100053 [2]吉林大学第一医院神经内科ICU [3]中国人民解放军总医院神经内科ICU [4]协和医学院护理学院 [5]首都医科大学宣武医院护理部,北京市100053

出　　处：《中国护理管理》2014年第7期748-751,共4页Chinese Nursing Management

摘　　要：目的:帮助护士掌握神经重症疾病患者医院获得性肺炎(HAP)的评估内容,明确干预策略,规范实施防控技术,提高护士操作的正确性与准确度。方法:检索Pubmed和中国知网近30年来神经疾病并发HAP的相关文献,根据牛津循证医学中心临床证据水平分级2009,进行证据和推荐意见确认,将防控HAP的研究与临床实践进行梳理。结果:制定出翻身扣背、体位引流、振动排痰、口腔护理等神经重症患者预防HAP的可行性操作规范。结论:本规范可促使神经重症疾病护理人员早期、安全、有效地评估与实践,提高患者生活质量。Objective： To facilitate nurses in the neurological intensive care unit to master assessment, intervention strategies, implementation technology of prevention, control of HAP and improve the correctness and accuracy of clinical care. Methods： Literatures related to neurological diseases complicated with HAP were retrieved from Pubmed and CNKI nearly past 30 years. Evidence-based medicine clinical level of Oxford evidence classification of 2009 was used to confirm the evidence and recommendations. Thereafter, HAP prevention and clinical practice researches were sorted out. Results： The feasible procedure of preventing HAP was made, such as turning back regularly, postural drainage, discharging sputum with machine vibration and oral care. Conclusion： Neurological intensive nurses could be prompted to assess and carry out early, safely and effectively and quality of life in patients were improved at the same time by using this practice standards.

关 键 词：神经重症疾病 肺炎 护理防控操作 

分 类 号：R47[医药卫生—护理学]