预防ICU呼吸机相关性肺炎检查单的设计及应用  

Design and application of ventilator-associated pneumonia prevention checklist in ICU

作　　者：李亚军[1] 陶方萍[1] 段缓[1] 

机构地区：[1]蚌埠医学院第一附属医院重症医学科,蚌埠市233000

出　　处：《中华护理杂志》2017年第3期356-358,共3页Chinese Journal of Nursing

基　　金：安徽省科技攻关计划(1301042221);安徽省"十二五"临床重点专科建设计划首批建设项目(01P44)

摘　　要：目的设计ICU呼吸机相关性肺炎检查单并应用于临床。方法通过查阅指南及相关文献,设计ICU呼吸机相关性肺炎检查单,将检查单应用于ICU接受机械通气的患者中,由护理组长每日检查管床护士对患者的呼吸机相关性肺炎预防的情况。结果检查单使用后,ICU气管插管患者的导管平均留置时间缩短、呼吸机相关性肺炎的发生率下降。结论将ICU呼吸机相关性肺炎检查单应用于呼吸机相关性肺炎预防的质量管理中,有助于缩短气管导管留置时间,降低呼吸机相关性肺炎的发生率,可以在临床推广和应用。Objective To design and apply ventilator-associated pneumonia prevention checklist in ICU. Methods The ventilator-associated pneumonia prevention checklist was designed by referring to guidelines and related literature. The checklist was applied to ventilator-dependent patients. The head of nursing group evaluated prevention status of ventilator-associated pneumonia performed by nurses every day. Results After application of the checklist, the average indwelling time of tracheal catheter and the incidence of ventilator-associated pneumonia decreased among ICU patients. Conclusion Using the ventilator-associated pneumonia prevention checklist in quality management in the prevention of ventilator-associated pneumonia can shorten the average indwelling time of tracheal catheter, and reduce the incidence of ventilator-assoeiated pneumonia, and the checklist can be promoted and applied.

关 键 词：检查单 重症监护病房 肺炎 呼吸机相关性 

分 类 号：R473.5[医药卫生—护理学]