预防机械通气相关性肺炎中集束化护理模式及护理干预效果评估  

Evaluation of Cluster Nursing Mode and Nursing Intervention Effect in Prevention of Ventilator-associated Pneumonia

作　　者：孙美琴 徐丽艳 SUN Meiqin;XU Liyan(Qingdao Pingdu Third People's Hospital,Qingdao,Shandong Province,266700 China;Department of Health,Qingdao Eastern Municipal Hospital,Qingdao,Shandong Province,266001 China)

机构地区：[1]青岛平度市第三人民医院,山东青岛266700 [2]青岛市东部市立医院保健部,山东青岛266001

出　　处：《中外医疗》2024年第12期137-140,共4页China & Foreign Medical Treatment

摘　　要：目的探讨集束化护理模式方案在机械通气患者中的应用效果。方法方便选取2022年5月—2023年5月青岛平度市第三人民医院收治的66例机械通气患者为研究对象,按照随机数表法将其分为两组,各33例。参照组采取常规机械通气护理模式,研究组采取集束化护理模式方案。比较两组干预前后血气指标、机械通气相关性肺炎发生率、护理满意度。结果研究组血二氧化碳分压低于参照组,血氧分压与血氧饱和度高于参照组高,差异有统计学意义(P均<0.05)。研究组机械通气相关性肺炎发生率(6.06%)低于参照组(27.27%),差异有统计学意义(χ^(2)=5.345,P<0.05)。研究组护理满意度高于参照组,差异有统计学意义(P<0.05)。结论集束化护理模式的实施,可改善患者的血气指标,加快其血氧分压与血氧饱和度恢复正常的速度,对降低机械通气相关性肺炎的发生率意义显著,提高患者满意度。Objective To explore the effect of cluster nursing scheme in patients with mechanical ventilation.Methods A total of 66 patients with mechanical ventilation were conveniently selected from Qingdao Pingdu Third People's Hospital from May 2022 to May 2023 as the study objects,and were divided into two groups according to random number table method,with 33 cases in each group.The reference group adopted the routine mechanical ventilation nursing mode,and the study group adopted the cluster nursing mode.The blood gas indexes before and after intervention,incidence of mechanical ventilator-associated pneumonia and nursing satisfaction were compared between the two groups.Results The blood carbon dioxide fraction of the study group was lower than that of the reference group,and the blood oxygen partial pressure and blood oxygen saturation were higher than those of the reference group,and the differences were statistically significant(all P<0.05).The incidence of mechanical ventilator-associated pneumonia in the study group(6.06%)was lower than that in the reference group(27.27%),and the difference was statistically significant(χ^(2)=5.345,P<0.05).The nursing satisfaction of the study group was higher than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion The implementation of cluster nursing mode can improve the patient's blood gas indicators,accelerate the speed of restoring normal blood oxygen partial pressure and saturation,significantly reduce the incidence of mechanical ventilation related pneumonia,and increase patient satisfaction.

关 键 词：机械通气 集束化护理 机械通气相关性肺炎 血氧饱和度 

分 类 号：R5[医药卫生—内科学]