Journal of Modern Nursing MedicineJPCNS

Objective To analyze the effect of preventive nursing for patients with ventilator-associated pneumonia (VAP) in intensive care unit of neurology department. Methods Thirty patients admitted to the intensive care Unit of the Department of Neurology of our hospital from June 2020 to June 2021 were selected and grouped for comparative observation. The grouping method was random envelope method. 15 patients receiving routine nursing intervention in the intensive care unit of the department of neurology were the reference group, and 15 patients receiving preventive nursing care of ventilator-associated pneumonia were the observation group. Time on the machine, length of stay in intensive care unit, blood gas indexes (including partial arterial oxygen pressure (PaO2), partial arterial carbon dioxide pressure (PaCO2), oxygenation index (PaO2/FiO2)) and incidence of ventilators associated pneumonia were compared between the two groups. Results (1) The length of hospital stay and ICU stay in observation group were shorter than those in control group (P < 0.05); (2) Before intervention, there were no significant differences in all blood oxygen indexes between 2 groups (P > 0.05); After intervention, PaO2 and PaO2/FiO2 in observation group were higher than those in reference group, and PaCO2 was lower than those in reference group (P < 0.05). (3) The incidence of ventilator-associated pneumonia in observation group was lower than that in reference group (P < 0.05). Conclusions Preventive nursing intervention for patients with ventilator-associated pneumonia in the intensive care unit of neurology department can significantly reduce the risk of patients with ventilator-associated pneumonia, shorten the hospitalization time of patients with ventilator-associated pneumonia and the intensive care unit, and improve the blood gas index level of patients, which has high application value.

Ventilator-associated pneumonia; Department of Neurology; Intensive care unit; Preventive care