ICU患者预防呼吸机相关性肺炎循证护理的效果研究  

The effectiveness of an evidence-based nursing for preventing ventilator-associated pneumonia in ICU

作　　者：佘秋群[1] 龙虎成 田艳[1] 

机构地区：[1]泸州医学院附属医院神经内科,四川泸州646000 [2]泸州医学院附属医院骨科,四川泸州646000

出　　处：《中华医院感染学杂志》2015年第4期854-856,共3页Chinese Journal of Nosocomiology

基　　金：四川省卫生厅基金资助项目(110334)

摘　　要：目的分析循证护理在预防重症监护病房(ICU)患者呼吸机相关性肺炎(VAP)的临床效果,以期为医院减少和预防ICU患者VAP的发生及对其护理提供临床参考。方法选取2010年6月-2013年6月医院收治的ICU机械通气患者76例,将其随机分为对照组36例、试验组40例,其中对照组进行ICU常规护理,试验组在常规护理基础上进行循证护理,根据问题循证原因,并针对每个病例制定不同的循证护理计划,比较两种护理方法对预防ICU患者VAP发生率和发生时间的差异。结果对照组患者VAP发生率为44.4%、发生时间为机械通气后(8.8±5.2)d,试验组患者VAP发生率为17.5%、发生时间为机械通气后(11.2±4.6)d,两组患者VAP发生率和发生时间比较,差异有统计学意义(P<0.05)。结论循证护理可以降低ICU患者VAP发生率、延迟VAP发生时间,具有较好的临床应用价值。OBJECTIVE To explore the clinical effect of evidence based nursing in the prevention of ICU ventilator associated pneumonia（VAP）so as to provide a clinical reference and nursing care for the reduction and prevention of VAP in ICU patients.METHODS A total of 76 patients were selected using mechanical ventilation in ICU and divided into control group（36cases）and experimental group（40cases）.The control group received conventional nursing alone,whereas the experimental group was given evidence-based nursing in addition.The evidence based nursing was individually formulated for every patient in experimental group.The differences of VAP incidence and occurrence time between the two groups were compared.RESULTS The incidence of VAP was 44.4% and the occurrence time of VAP was（8.8±5.2）day after mechanical ventilation in the control group,while the incidence of VAP was 17.5% and the occurrence time of VAP was（11.2±4.6）day after mechanical ventilation in the experimental group.There were significant differences in the incidence and occurrence time of VAP between experimental group and control group（P〈0.05）.CONCLUSION Evidence based nursing can reduce the incidence of VAP and delay the occurrence time of VAP,therefore,it has better curative effect in the prevention of ICU ventilator associated pneumonia.

关 键 词：循证护理 呼吸机相关性肺炎 机械通气 

分 类 号：R563.1[医药卫生—呼吸系统]