集束化管理措施在预防成人体外循环心脏手术患者呼吸机相关性肺炎中的应用  

Application of cluster management measures on prevention of ventilator associated pneumonia in adult patients with cardiopulmonary bypass surgery

作　　者：智红晓[1] 李黎明[1] 袁彬彬 

机构地区：[1]河南省人民医院心外ICU,450003

出　　处：《国际护理学杂志》2017年第23期3169-3172,共4页international journal of nursing

基　　金：河南省医学科技攻关计划项目基金资助（201303154）

摘　　要：目的 评价集束化管理在预防成人体外循环心脏手术患者呼吸机相关性肺炎中的作用.方法 将2014年7月1日~12月31日符合纳入标准的患者182例作为对照组,将2015年7月1日-12月31日符合纳入标准的患者129例作为观察组,对照组和观察组分别给予常规管理和集束化管理,比较两组患者机械通气时间和呼吸机相关性肺炎的发生率.结果 两组患者机械通气时间无统计学意义（P〉0.05）,对照组患者中VAP发生率为15.40%,观察组VAP发生率为6.98%,观察组VAP发生率明显低于对照组（P〈0.05）.结论 集束化管理措施可有效降低成人体外循环心脏手术患者呼吸机相关性肺炎的发生率.Objective To evaluate the effect of cluster management measures on prevention of ventilator asso-ciated pneumonia in adult patients with cardiopulmonary bypass surgery. Methods A total of 182 patients who met the inclusion criteria from 1 July to 31 December 2014 were treated as the control group. A total of 129 patients who met the inclusion criteria from 1 July to 31 December 2015 were treated as the observation group. The control group and the ob-servation group were given routine management and cluster management in order to compare the incidence of ventilator associated pneumonia between the two groups. Results There was no difference in mechanical ventilation time between the two groups （ P〉0. 05 ） . The incidence of VAP of the patients in the control group and the observation group were 15. 40% and 6. 98% respectively, the incidence of VAP of the control group was significently lower than that of the ob-servation group （ P〈0. 05 ） . Conclusions The cluster management measures can efficaciously reduce the incidence of VAP in patients underwent cardiopulmonary bypass surgery.

关 键 词：体外循环 心脏外科手术 呼吸机相关性肺炎 预防 集束化管理 

分 类 号：R473.6[医药卫生—护理学]