督导式预警性护理在预防重症监护室机械通气患者肺部感染中的应用效果  

Application effects of supervised early warning nursing in prevention of pulmonary infection in patients with mechanical ventilation in intensive care unit

作　　者：戴欢欢 DAI Huanhuan(Intensive Care Unit of General Hospital of Pingdingshan Shenma Medical Group,Pingdingshan 467000 Henan,China)

机构地区：[1]平煤神马医疗集团总医院重症医学科,河南平顶山467000

出　　处：《中国民康医学》2025年第8期173-176,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察督导式预警性护理在预防重症监护室(ICU)机械通气患者肺部感染中的应用效果。方法:回顾性分析2022年1月至2024年1月该院ICU收治的96例机械通气患者的临床资料,按不同护理方案将其分为研究组和对照组各48例。对照组采用常规护理,研究组在对照组基础上采用督导式预警性护理,比较两组机械通气时间、住ICU时间、总住院时间,肺部感染发生率,血气指标水平,Kolcaba舒适状况量表(GCQ)评分和护理满意度。结果:研究组机械通气时间、住ICU时间、总住院时间均短于对照组,差异有统计学意义(P<0.05);护理期间,研究组肺部感染发生率为2.08%,明显低于对照组的18.75%,差异有统计学意义(P<0.05);护理后,两组动脉血氧分压高于护理前,且研究组高于对照组,动脉血二氧化碳分压低于护理前,且研究组低于对照组,差异均有统计学意义(P<0.05);护理后,两组GCQ评分高于护理前,且研究组高于对照组,差异均有统计学意义(P<0.05);研究组护理满意度为97.92%,明显高于对照组的81.25%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用督导式预警性护理可缩短ICU机械通气患者机械通气时间、住ICU时间、总住院时间,改善血气指标水平,降低肺部感染发生率,提高GCQ评分和护理满意度,效果优于单纯常规护理。Objective:To observe application effects of supervised early warning nursing in prevention of pulmonary infection in patients with mechanical ventilation in intensive care unit(ICU).Methods:The clinical data of 96 patients with mechanical ventilation admitted to the ICU of the hospital from January 2022 to January 2024 were retrospectively analyzed.According to different nursing methods,they were divided into study group and control group,48 cases in each group.The control group was given routine nursing,while the study group was given the supervised early warning nursing on the basis of that of the control group.The mechanical ventilation time,the ICU stay time,the total hospitalization time,the incidence of pulmonary infection,blood gas indicators the Kolcaba general comfort questionnaire(GCQ)score,and the nursing satisfaction were compared between the two groups.Results:The mechanical ventilation time,the ICU time and the total hospitalization time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).During the nursing period,the incidence of pulmonary infection in the study group was 2.08%,which was significantly lower than 18.75%in the control group,and the difference was statistically significant(P<0.05).After the nursing,the arterial partial pressure of oxygen in the two groups were higher than those before nursing,the study group was higher than the control group,the arterial partial pressure of carbon dioxide were lower than those before nursing,and the study group was lower than the control group,the differences were statistically significant(P<0.05).After the nursing,the GCQ scores of the two groups were higher than those before the nursing,that in the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 97.92%,which was significantly higher than 81.25%of the control group,and the difference was statistically significan

关 键 词：督导式预警性护理 重症监护室 机械通气 肺部感染 舒适度 血气指标 

分 类 号：R47[医药卫生—护理学]