ICU患者呼吸机相关性肺炎的护理干预  

Nursing Intervention in Ventilator Associated Pneumonia in ICU

作　　者：胡梅芳[1] 孙静[1] 

机构地区：[1]泰州市人民医院,江苏泰州225300

出　　处：《泰州职业技术学院学报》2017年第4期68-70,共3页Journal of Taizhou Polytechnic College

摘　　要：目的探讨护理干预在机械通气患者呼吸机相关性肺炎中的应用效果。方法选取本院ICU在2016年4月~2017年4月收治的96例实施机械通气的患者为研究对象,按随机数字表法随机进入观察组和对照组。对照组给予常规护理;观察组在常规护理的基础上给予护理干预。对比分析两组患者呼吸机相关性肺炎(VAP)的发生率、机械通气时间、ICU住院时间及相关炎症因子指标。结果与对照组比较,观察组VAP发生率、机械通气时间和ICU住院治疗时间明显偏低(P<0.01);白细胞计数和C反应蛋白也明显偏低(P<0.01)。结论护理干预能明显降低ICU机械通气患者VAP的发生率,缩短患者机械通气时间,改善患者预后,提高患者满意度。Objective To investigate the effect of nursing intervention in ventilator associated pneumoma of patients with mechanical ventilation in intensive care unit （ICU）. Methods 96 patients required mechanical ventilation from April 2016 to April 2017,in accordance with the random number table, were divided into observation group and control group. Routine care, including bedside care, routine observation, medical care, etc were given in control group; On the basis of routine care, nursing intervention were given in observation group. The incidence of ventilator associated pneumonia（VAP）, mechanical ventilation time, hospital stay and related inflammatory factors, were compared between the two groups. Results The incidence of VAP, mechanical ventilation time and ICU hospitalization time in the observation group were significantly lower than the control group （P〈 0.01）. The white blood cell count and C-reactive protein in the observation group were significantly lower than those in the control group（P〈0.01）. Conclusion Nursing intervention can significantly reduce the incidence of VAP in patients with mechanical ventilation, shorten the duration of mechanical ventilation, promote the prognosis of patients and improve patient satisfaction.

关 键 词：护理干预 机械通气 呼吸机相关性肺炎 

分 类 号：R473.56[医药卫生—护理学]