基于HACCP与目标导向多维护理在重症肺炎机械通气患者中的应用  

Application of multi-dimensional nursing based on HACCP and goal-oriented in patients with severe pneumonia with mechanical ventilation

作　　者：谭娜 TAN Na(Comprehensive Intensive Care Unit,Xinyi People′s Hospital,Xinyi,Jiangsu 221400,China)

机构地区：[1]新沂市人民医院综合重症监护室,江苏新沂221400

出　　处：《现代医药卫生》2025年第1期144-147,151,共5页Journal of Modern Medicine & Health

摘　　要：目的观察基于危害分析及关键控制点(HACCP)与目标导向多维护理在重症肺炎机械通气患者中的应用效果。方法选择2020年1月至2023年1月就诊于新沂市人民医院的重症肺炎机械通气患者80例为研究对象,以随机数字表法将其划归为40例观察组、40例对照组。对照组遵循重症肺炎机械通气常规式护理法施行护理,观察组于此基础上加用基于HACCP与目标导向多维护理,对2组干预后肺部感染评分(CPIS)、营养风险筛查表(NRS)评分、急性生理与慢性健康评分(APACHEⅡ评分)、机械通气时间、住院时间等进行比较。结果护理后,观察组重症肺炎机械通气患者CPIS评分、NRS评分、APACHEⅡ评分[(5.43±0.55)、(3.23±0.58)、(23.85±1.21)/(2.90±0.50)分]低于对照组[(6.35±0.48)、(4.33±0.47)、(25.16±0.60)/(3.95±0.60)分],机械通气时间、住院时间[(8.25±0.74)、(23.70±1.32)d]短于对照组[(10.85±0.83)、(32.03±1.27)d],差异均有统计学意义(P<0.05)。结论基于HACCP与目标导向多维护理对重症肺炎机械通气患者施加干预,利于其肺部感染、营养健康状态的改善,实现快速康复目标。Objective To observe the application effect of multi-dimensional nursing based on hazard analysis and critical control point(HACCP)and goal-oriented in patients with severe pneumonia with mechanical ventilation.Methods A total of 80 patients with severe pneumonia with mechanical ventilation who were treated in the Xinyi People′s Hospital from January 2020 to January 2023 were selected as the observation samples,and they were divided into 40 experimental group and 40 control group by random number table method.The control group followed the routine nursing method of mechanical ventilation of severe pneumonia.On this basis,HACCP and goal-oriented multidimensional nursing intervention were added to the experimental group,and Clinical Pulmonary Infection Score(CPIS),Nutritional Risk Screening(NRS)score,Acute Physiology and Chronic Health Evaluation(APACHEⅡ)score,mechanical ventilation time,hospitalization time and other observation indexes were compared between the two groups after intervention.Results After nursing,the CPIS score,NRS score and APACHEⅡscore[(5.43±0.55),(3.23±0.58),(23.85±1.21)/(2.90±0.50)]in the observation group were lower than those in the control group[(6.35±0.48),(4.33±0.47),(25.16±0.60)/(3.95±0.60)].Mechanical ventilation time and hospitalization time[(8.25±0.74),(23.70±1.32)d]were shorter than those in the control group[(10.85±0.83),(32.03±1.27)d],and the differences were statistically significant(P<0.05).Conclusion The intervention of multi-dimensional nursing based on HACCP and goal-oriented on severe pneumonia patients with mechanical ventilation is conducive to the improvement of their lung infection and nutritional health status,and the realization of rapid rehabilitation goals.

关 键 词：危害分析及关键控制点 目标导向多维护理 重症肺炎 机械通气 肺部感染评分 营养健康状态 

分 类 号：R563.8[医药卫生—呼吸系统]