精细化护理干预对ICU患者呼吸机相关性肺炎发生情况的影响

Effect of intensive nursing intervention on the occurrence of ventilator-associated pneumonia in ICU patients

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DOI 10.12208/j.cn.20220406
刊名
Contemporary Nursing
年,卷(期) 2022, 3(9)
作者
作者单位

德阳市人民医院重症医学科 四川德阳 ;

摘要
分析ICU患者呼吸机相关性肺炎患者的精细化护理方法及效果。方法 针对我院ICU患者作为观察对象,分别采取常规护理及精细化护理干预,对呼吸机相关性肺炎发生率进行统计,对患者临床治疗时间及护理满意度等进行统计分析。结果 观察组VAP发生2例,发生率为5%,对照组VAP发生8例,发生率为20%,观察组VAP发生率低于对照组,p<0.05。观察组满意度比对照组高,p<0.05。观察组患者临床治疗时间指标均比对照组短,p<0.05。护理前,组间APACHE-II及CPISI水平对比,p>0.05;护理后,观察组患者APACHE-II及CPISI水平均低于对照组,p<0.05。结论 在ICU使用呼吸机治疗期间,通过精细化护理干预,可降低相关性肺炎发生率,提升患者的抢救效果。
Abstract
Objective: To analyze the intensive nursing methods and effects of ventilator-associated pneumonia in ICU patients. Methods: For ICU patients in our hospital as the observation object, routine nursing and intensive nursing intervention were adopted, the incidence of ventilator-associated pneumonia was statistically analyzed, and the clinical treatment time and nursing satisfaction were statistically analyzed. Results: VAP occurred in 2 cases (5%) in the observation group and 8 cases (20%) in the control group. The incidence of VAP in the observation group was lower than that in the control group (P <0.05). The satisfaction of observation group was higher than that of control group, P <0.05. The clinical treatment time index of observation group was shorter than control group, P <0.05. Before nursing, apache-II and CPISI levels were compared between groups, P >0.05; After nursing, the levels of Apache-II and CPISI in observation group were lower than those in control group, P <0.05. Conclusion: During ICU ventilator treatment, intensive nursing intervention can reduce the incidence of associated pneumonia and improve the rescue effect of patients.
关键词
精细化护理;ICU;呼吸机相关性肺炎;满意度
KeyWord
Fine nursing; ICU; Ventilator-associated pneumonia; satisfaction
基金项目
页码 82-85
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冷婷*. 精细化护理干预对ICU患者呼吸机相关性肺炎发生情况的影响 [J]. 当代护理. 2022; 3; (9). 82 - 85.

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