主动防范风险干预程度对重症监护室重症肺炎机械通气患者护理质量的影响  

Impact of the degree of proactive risk prevention intervention on the quality of care for mechanically ventilated patients with severe pneumonia in the intensive care unit

作　　者：王倩 张瑶瑾[1] 倪芳芳[1] Wang Qian;Zhang Yaojin;Ni Fangfang(Department of Critical Care Medicine,Jing′an District Central Hospital,Shanghai 200040,China)

机构地区：[1]上海市静安区中心医院重症医学科,上海200040

出　　处：《国际护理学杂志》2024年第2期289-293,共5页international journal of nursing

摘　　要：目的探讨主动防范风险干预程度对重症监护室重症肺炎机械通气患者护理质量的影响。方法选取2020年1月至2022年1月于上海市静安区中心医院ICU接受治疗重症肺炎患者80例,随机分为观察组和对照组,各40例。对照组实施常规护理模式,观察组实施主动防范风险干预。于入院当日、出ICU当日对比两组患者血气指标、临床治疗指标及风险事件发生率。结果入院当日,两组各项临床指标比较差异均无统计学意义(均P>0.05);出ICU当日,观察组血气指标数值优于对照组,且体温恢复时间、通气时间、ICU住院时间及风险事件发生率低于对照组,差异均有统计学意义(均P<0.05)。结论实施主动防范风险干预能够最大程度上减少重症肺炎患者通气时间,降低其风险事件的发生,从而改善患者的血气指标数值。Objective To investigate the impact of the degree of proactive risk prevention intervention on the quality of care for mechanically ventilated patients with severe pneumonia in the intensive care unit.Methods A total of 80 patients with severe pneumonia were selected to receive treatment in this hospital from January 2020 to January 2022,and were randomly divided into the observation group and the control group,each with 40 cases.The control group implemented conventional nursing model,and the observation group implemented active risk prevention intervention.On the day of admission and the day of discharge from the ICU,the blood gas indexes,clinical treatment indexes and the incidence of risk events of the two groups were compared.Results On the day of admission,there was no statistically significant difference in the comparison of all clinical indicators between the two groups(all P>0.05);on the day of discharge from the ICU,the values of blood gas indexes of the observation group were better than those of the control group,and the time for recovery of body temperature,time for ventilation,time for hospitalization in the ICU,and the rate of risky events was lower than those of the control group,and the differences were statistically significant(all P<0.05).Conclusions The implementation of proactive risk prevention interventions can minimize the duration of ventilation and reduce the occurrence of risky events in patients with severe pneumonia,thus improving their blood gas index values.

关 键 词：主动防范风险 ICU 重症肺炎 风险事件发生率 住院时间 

分 类 号：R473.5[医药卫生—护理学]