督导式预警性护理模式在重症肺炎患者机械通气治疗期间的应用  

Application of Supervised EarlyWarning Nursing Mode in Severe Pneumonia Patients during the Period of Mechanical Ventilation Treatment

作　　者：黄美霞[1] 余正芝[1] 张波 程玉生[1] 李玲玲 HUANG Meixia;YU Zhengzhi;ZHANG Bo;CHENG Yusheng;LI Lingling(Yijishan Hospital of Wannan Medical College,Wuhu 241000,China)

机构地区：[1]皖南医学院弋矶山医院,安徽芜湖241000

出　　处：《西部中医药》2021年第8期152-154,共3页Western Journal of Traditional Chinese Medicine

基　　金：安徽高校自然科学研究项目(KJ2017A274)。

摘　　要：目的:探讨将督导式预警性护理模式运用于重症肺炎患者机械通气治疗期间以预防呼吸机相关肺炎(ventilator associated pneumonia,VAP)发生的效果。方法:选取接受机械通气治疗的重症肺炎患者80例,采用随机数字表法分为对照组和观察组,每组40例。对照组给予常规护理,观察组在此基础上给予督导式预警性护理。比较两组VAP发生率及相关死亡率、机械通气时间、重症监护室(intensive care unit,ICU)治疗时间、住院时间、住院费用以及护理满意度情况。结果:观察组VAP发生率[10.00%(4/40)]显著低于对照组[32.50%(13/40)](P<0.05);观察组VAP相关死亡率[2.50%(1/40)]与对照组[7.50%(3/40)]比较,差异无统计学意义(P>0.05);观察组机械通气时间、ICU治疗时间、住院时间及住院费用均显著短于对照组(P<0.05);观察组护理满意度[99.00%(36/40)]显著优于对照组[77.50%(31/40)](P<0.05)。结论:督导式预警性护理模式应用于重症肺炎机械通气治疗期间有助于降低患者VAP发生率,缩短机械通气时间、ICU治疗时间,减少住院费用。Objective:To observe the effects of supervised early warning nursing mode in preventing VAP of the patients with severe pneumonia during the period of mechanical ventilation treatment.Methods:Eighty patients who accepted mechanical ventilation treatment were chosen and allocated to the control group and the observation group using random number table method,40 cases in each group.The control group accepted conventional care,and the observation group supervised early warning nursing mode on the foundation of conventional care.To compare the incidence of VAP,VAP-related mortality,mechanical ventilation time,ICU therapeutic time,hospital stay,hospitalization expenses and nursing satisfaction degree between both groups.Results:The incidence of VAP of the observation group was 10.00%(4/40),notably lower than 32.50%(13/40)of the control group(P<0.05);the difference had no statistical meaning in VAP-related mortality between the observation group[2.50%(1/40)]and the control group[7.50%(3/40)](P>0.05);the observation group was shorter than the control group in mechanical ventilation time,ICU therapeutic time,hospital stay and hospitalization expenses notably(P<0.05);the observation group[99.00%(36/40)]was better than the control group[77.50%(31/40)]in nursing satisfaction degree(P<0.05).Conclusion:Supervised early warning nursing mode applied to the patients with severe pneumonia during the period of mechanical ventilation treatment is helpful to reduce the incidence of VAP,shorten mechnical ventilation time and ICU therapeutic time,and lower hospitalization expense.

关 键 词：重症肺炎 机械通气 呼吸机相关肺炎 督导式预警性护理 

分 类 号：R563.1[医药卫生—呼吸系统]