ICU重症患者呼吸机相关性肺炎的护理体会
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摘要
目的观察护理干预对ICU重症患者呼吸机相关性肺炎发生的影响。方法选取我院ICU重症患者64例(2017年3月—2018年4月),随机分为常规护理的对照组(32例)与综合护理的观察组(32例),观察患者相关指标及呼吸机相关性肺炎发生率。结果观察组机械通气时间(10.32±2.46)d,住院时间(16.49±2.67)d,呼吸机相关性肺炎发生率6.25%,对照组机械通气时间(16.43±2.81)d,住院时间(26.74±15.98)d,呼吸机相关性肺炎发生率28.13%,观察组机械通气时间、住院时间比对照组短,呼吸机相关性肺炎发生率比对照组低,P <0.05。结论给予ICU重症患者综合护理,能有效减少患者机械通气时间及住院时间,降低呼吸机相关性肺炎发生率,效果较好。
Objective To observe the effect of nursing intervention on the occurrence of ventilator associated pneumonia in ICU patients with severe illness. Methods 64 patients with severe ICU in our hospital( from March 2017 to April 2018) were randomly divided into the control group of conventional nursing(32 cases) and the observation group of comprehensive nursing(32 cases). Relevant indicators of patients and the incidence of ventilator-associated pneumonia were observed. Results In the observation group, the duration of mechanical ventilation(10.32± 2.46) d, hospitalization(16.49 ± 2.67) d and the incidence of ventilator-associated pneumonia(VAP)were 6.25%. The duration of mechanical ventilation in the control group was(16.43 ± 2.81) d, the length of hospitalization was(26.74 ± 15.98) d, the incidence of ventilator-associated pneumonia was 28.13%. The duration of mechanical ventilation and hospitalization in the observation group were shorter than those in the control group, and the incidence of ventilatorassociated pneumonia was lower than that in the control group, P < 0.05.Conclusion Comprehensive care for ICU patients with severe illness can effectively reduce the time of mechanical ventilation and hospitalization,reduce the incidence of ventilator-associated pneumonia, the effect is good.
Objective To observe the effect of nursing intervention on the occurrence of ventilator associated pneumonia in ICU patients with severe illness. Methods 64 patients with severe ICU in our hospital( from March 2017 to April 2018) were randomly divided into the control group of conventional nursing(32 cases) and the observation group of comprehensive nursing(32 cases). Relevant indicators of patients and the incidence of ventilator-associated pneumonia were observed. Results In the observation group, the duration of mechanical ventilation(10.32± 2.46) d, hospitalization(16.49 ± 2.67) d and the incidence of ventilator-associated pneumonia(VAP)were 6.25%. The duration of mechanical ventilation in the control group was(16.43 ± 2.81) d, the length of hospitalization was(26.74 ± 15.98) d, the incidence of ventilator-associated pneumonia was 28.13%. The duration of mechanical ventilation and hospitalization in the observation group were shorter than those in the control group, and the incidence of ventilatorassociated pneumonia was lower than that in the control group, P < 0.05.Conclusion Comprehensive care for ICU patients with severe illness can effectively reduce the time of mechanical ventilation and hospitalization,reduce the incidence of ventilator-associated pneumonia, the effect is good.
引文
[1]彭敏,王莉.护理干预对ICU重症患者呼吸机相关性肺炎发生的影响[J].湖南中医药大学学报,2016,36(1):569-570.
[2]周晓静,夏繁.综合性护理干预对内科ICU机械通气患者VAP及治疗效果的影响[J].实用临床医药杂志,2016,20(14):1-3.
[3]曾莉,守丹.集束化护理干预对ICU重型颅脑损伤机械通气患者呼吸机相关性肺炎的治疗效果[J].实用临床医药杂志,2017,21(14):23-26.
[4]李宁.集束化护理干预对预防ICU机械通气患者呼吸机相关性肺炎的效果观察[J].实用临床医药杂志,2017,21(16):130-132.
[5]于文双,代庆春,陈然.集束化护理干预措施对重症监护病房呼吸机相关性肺炎的影响分析[J].山西医药杂志,2017,46(14):1767-1770.
[6]熊杰,涂莉娜,郭春玲,等.集束化护理模式对ICU病房中使用呼吸机支持患者相关性肺炎发生的影响[J].临床急诊杂志,2016,17(10):786-789.
[7]朱立红,管艳,周炜.预防ICU呼吸机相关性肺炎实施集束化综合护理的价值观察[J].中国煤炭工业医学杂志,2016,19(4):616-618.
[8]吴佼佼,马红梅,廖春霞,等.集束化护理预防ICU患者呼吸机相关性肺炎的meta分析[J].职业与健康,2016,32(24):3336-3340.
[9]王兰.集束护理干预重症监护病房患者预防呼吸机相关性肺炎感染的观察[J].安徽医药,2018,22(8):1614-1617.
[10]余燕梅,刘利华,蒋玉芳,等. ICU护理风险管理对急性呼吸窘迫综合征患者呼吸机相关性肺炎的影响研究[J].中华医院感染学杂志,2016,26(3):695-697.
[11]王颖,刘世炎.早期营养支持降低ICU肿瘤重症患者呼吸机相关性肺炎的临床效果[J].现代肿瘤医学,2016,24(2):282-284.
[12]陈晏,何海燕,杨文群,等. ICU患者呼吸机相关性肺炎影响因素的回顾性分析[J].第三军医大学学报,2016,38(24):2616-2620.
[2]周晓静,夏繁.综合性护理干预对内科ICU机械通气患者VAP及治疗效果的影响[J].实用临床医药杂志,2016,20(14):1-3.
[3]曾莉,守丹.集束化护理干预对ICU重型颅脑损伤机械通气患者呼吸机相关性肺炎的治疗效果[J].实用临床医药杂志,2017,21(14):23-26.
[4]李宁.集束化护理干预对预防ICU机械通气患者呼吸机相关性肺炎的效果观察[J].实用临床医药杂志,2017,21(16):130-132.
[5]于文双,代庆春,陈然.集束化护理干预措施对重症监护病房呼吸机相关性肺炎的影响分析[J].山西医药杂志,2017,46(14):1767-1770.
[6]熊杰,涂莉娜,郭春玲,等.集束化护理模式对ICU病房中使用呼吸机支持患者相关性肺炎发生的影响[J].临床急诊杂志,2016,17(10):786-789.
[7]朱立红,管艳,周炜.预防ICU呼吸机相关性肺炎实施集束化综合护理的价值观察[J].中国煤炭工业医学杂志,2016,19(4):616-618.
[8]吴佼佼,马红梅,廖春霞,等.集束化护理预防ICU患者呼吸机相关性肺炎的meta分析[J].职业与健康,2016,32(24):3336-3340.
[9]王兰.集束护理干预重症监护病房患者预防呼吸机相关性肺炎感染的观察[J].安徽医药,2018,22(8):1614-1617.
[10]余燕梅,刘利华,蒋玉芳,等. ICU护理风险管理对急性呼吸窘迫综合征患者呼吸机相关性肺炎的影响研究[J].中华医院感染学杂志,2016,26(3):695-697.
[11]王颖,刘世炎.早期营养支持降低ICU肿瘤重症患者呼吸机相关性肺炎的临床效果[J].现代肿瘤医学,2016,24(2):282-284.
[12]陈晏,何海燕,杨文群,等. ICU患者呼吸机相关性肺炎影响因素的回顾性分析[J].第三军医大学学报,2016,38(24):2616-2620.