综合护理干预模式对ICU呼吸机相关性肺炎效果及患者炎症指标的影响  

Effects of comprehensive nursing intervention in the ICU on the prevention of ventilator associated pneumonia and inflammatory factors

作　　者：罗芳[1] 徐艳玲[1] 杨丹凤[1] 

机构地区：[1]广东省中医院,广东广州510120

出　　处：《现代医学》2014年第8期915-918,共4页Modern Medical Journal

摘　　要：目的:探讨ICU综合护理干预模式对呼吸机相关性肺炎的效果。方法:以2011年1月至2013年1月间ICU病房收治的86例呼吸机相关性肺炎高风险患者为研究对象,按时间分为观察组(2012年2月至2013年1月)和对照组(2011年1月至2012年1月),观察组实施综合护理干预,对照组采取常规护理。采用回顾性研究的方法,比较两组患者呼吸机相关性肺炎的发生率、相关炎症因子水平和卫生经济学指标间的差异。结果:观察组患者呼吸机相关性肺炎发生率低于对照组,相关炎症因子水平低于对照组,ICU住院时间和花费少于对照组,差异均有统计学意义(均P<0.05)。结论:ICU综合护理干预模式对呼吸机相关性肺炎具有积极意义,可降低患者体内炎症因子水平,提高患者免疫能力,减少相关并发症发生的危险,并减轻患者医疗负担。Objective： To investigated the effect of comprehensive nursing intervention in the ICU on the prevention of ventilator associated pneumonia. Methods：86 patients with the high risk of ventilator associated pneumonia were divided into objective group（from Feb 2012 to Jan 2013） and control group（from Jan 2011 to Jan2012） as admission time. The comprehensive nursing intervention plan was used in the objective group. The difference of morbidity,related inflammatory factors and indicators of health economics between the two groups were compared. Results： The morbidity of the objective group was lower than that of the control group. The related inflammatory factors and indicators of health economics of the objective group was more positive for successly preventing the ventilator associated pneumonia. Conclusion：It would get a satisfactory effect to use comprehensive nursing intervention in the ICU on the prevention of ventilator associated pneumonia with the more positive in the immune level,morbidity of conplications and health care burden.

关 键 词：重症监护室 护理 呼吸机相关性肺炎 

分 类 号：R473[医药卫生—护理学]