NSICU综合护理干预对呼吸机相关性肺炎患者并发症及预后价值  

Value of NSICU Comprehensive Nursing Intervention for Complications and Prognosis of Patients with Ventilator-associated Pneumonia

作　　者：王惠萍 陈华英 戴余凡 陈碧清 WANG Huiping;CHEN Huaying;DAI Yufan;CHEN Biqing(Department of Neurosurgery,Putian Medical District of the 900 Hospital of the Joint Logistic Support Force,Putian,Fujian Province,351100 China)

机构地区：[1]联勤保障部队第九00医院莆田医疗区神经外科,福建莆田351100

出　　处：《中外医疗》2023年第3期150-153,159,共5页China & Foreign Medical Treatment

摘　　要：目的探讨研究神经外科重症监护病房(neurosurgical intensive careunit,NSICU)综合护理干预对呼吸机相关性肺炎患者并发症及预后价值。方法方便选取2018年4月—2020年4月于联勤保障部队第九00医院莆田医疗区NSICU收治的呼吸机相关性肺炎(ventilator associated pneumonia,VAP)患者88例作为研究对象,按照治疗方式的不同分为对照组和观察组。44例患者予以常规NSICU护理,视为对照组,44例患者采取综合护理,视为观察组。比较两组患者并发症、生活质量及护理满意度。结果观察组并发症总发生率为13.63%,较对照组的34.09%低,差异有统计学意义(P<0.05);护理前,两组患者生活质量对比,差异无统计学意义(P>0.05);护理后,两组患者生活质量得到明显提高;观察组护理后情感功能、躯体功能、认知功能、角色功能及社会功能评分高于对照组,差异有统计学意义(P<0.05);观察组护理满意度95.45%较对照组的79.55%更高,差异有统计学意义(P<0.05)。结论针对NSICU患者常见VAP症状,采取综合护理进行干预,能有效降低患者并发症发生风险,加快健康恢复进度,患者护理满意度较高,整体应用价值显著。Objective To investigate the value of neurosurgical intensive careunit(NSICU)comprehensive nursing intervention on complications and prognosis of ventilator-associated pneumonia patients.Methods A total of 88 patients with ventilator associated pneumonia(VAP)admitted to the NSICU of the 900th Hospital of the Joint Logistics Support Force from April 2018 to April 2020 were conveniently enrolled as the study subjects,and they were divided into control group and observation group according to different treatment methods.Forty-four patients were treated as the control group with routine NSICU nursing,and 44 patients were treated as the observation group with comprehensive care.Complications,quality of life,and nursing satisfaction were compared between the two groups.Results The total incidence of complications in the observation group was 13.63%,which was lower than that in the control group(34.09%),and the difference was statistically significant(P<0.05),and the quality of life of the two groups was not significantly compared before nursing(P>0.05).After nursing,the quality of life of patients in both groups was significantly improved;The scores of emotional function,somatic function,cognitive function,role function and social function in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Nursing satisfaction was 95.45% higher in the observation group than 79.55% in the control group,and the difference was statistically significant(P<0.05).Conclusion In view of the common VAP symptoms of NSICU patients,comprehensive nursing intervention can effectively reduce the risk of complications and accelerate the progress of health recovery,and the patient satisfaction of nursing is high,and the overall application value is significant.

关 键 词：NSICU综合护理 呼吸机相关性肺炎 并发症 预后价值 

分 类 号：R181[医药卫生—流行病学]