风险预警分析下个体化干预在重症监护病房呼吸机肺炎患者护理中的应用价值  

Application value of personalized intervention under risk warning analysis in the nursing of intensive care unit patients with ventilator-associated pneumonia

作　　者：梁玲 胡著芹 陈丹丽 LIANG Ling;HU Zhuqin;CHEN Danli(Department of Critical Care Medicine,Yichun People's Hospital,Jiangxi Province,Yichun 336000,China;The Second Department of Pediatrics,Yichun People's Hospital,Jiangxi Province,Yichun 336000,China)

机构地区：[1]江西省宜春市人民医院重症医学科,江西宜春336000 [2]江西省宜春市人民医院儿二科,江西宜春336000

出　　处：《中国当代医药》2024年第15期162-165,171,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202140881);江西省宜春市科技局科研立项项目(2022ZDJI6259)。

摘　　要：目的探讨风险预警分析下个体化干预在重症监护病房(ICU)呼吸机肺炎患者护理中的应用价值。方法选取2022年2月至2023年6月宜春市人民医院ICU收治的82例呼吸机肺炎患者作为研究对象,按随机数字表法将其分为观察组(41例)和对照组(41例)。对照组患者采取常规护理,观察组患者实施风险预警分析下个体化护理干预,两组均持续护理至患者出院。比较两组舒适度、并发症发生率、预后恢复情况、生活质量。结果观察组护理后舒适状况量表(GCQ)评分、健康调查简表(SF-36)评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组机械通气时间、ICU入住时间以及住院时间均短于对照组,差异有统计学意义(P<0.05)。结论风险预警分析下个体化干预可提升ICU呼吸机肺炎患者舒适度,有效降低并发症发生率,促进患者尽快恢复,进而提升生活质量。Objective To explore the application value of personalized intervention under risk warning analysis in the nursing of patients with ventilator-associated pneumonia in the intensive care unit(ICU).Methods A total of 82 patients with ventilator-associated pneumonia admitted to the ICU of Yichun People's Hospital from February 2022 to June 2023 were selected as the study objects and divided into observation group(41 cases)and control group(41 cases)according to the random number table method.The control group received routine care,while the observation group received personalized nursing intervention under risk warning analysis.Both groups continued to receive care until the patients were discharged.The comfort level,incidence of complications,prognosis recovery,and quality of life between two groups were compared.Results The general comfort questionnaire(GCQ)score and the MOS item short from health survey(SF-36)score of the observation group after nursing were higher than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The mechanical ventilation time,ICU stay time,and hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Individualized intervention under risk warning analysis can improve the comfort of ICU patients with ventilator pneumonia,effectively reduce the incidence of complications,promote patient recovery as soon as possible,and thus improve their quality of life.

关 键 词：重症监护病房 呼吸机肺炎 风险预警分析 个体化干预 舒适度 并发症 预后恢复情况 生活质量 

分 类 号：R563.1[医药卫生—呼吸系统]