摘要
目的探讨加强护理干预在老年重症肺炎并发呼吸机相关性肺炎患者中的应用效果。方法选取2009年11月至2010年11月收治的78例老年重症肺炎并发呼吸机相关性肺炎患者作为研究对象，将其随机分为观察组和对照组各39例。对照组患者采用常规综合护理方法，观察组患者在对照组患者常规综合护理基础上，再加强护理干预。比较2组患者发生呼吸机相关性肺炎后呼吸机使用时间、住院天数、并发症情况及病死率。结果2组患者的呼吸机使用时间、住院天数、并发症发生率及病死率比较，观察组患者均显著优于对照组。结论加强护理干预可针对性地改善重症肺炎并发呼吸机相关性肺炎患者的整体呼吸状况，利于炎性反应控制，缩短呼吸机使用时间及住院时间，相应的降低并发症的发生率，降低死亡率，值得临床推广应用。
Objective To investigate the application effect of intensified nursing intervention in se- vere pneumonia complicated with ventilator-associated pneumonia. Methods 78 senile patients admitted to hospital with severe pneumonia complicated with ventilator-associated pneumonia from November 2009 to November 2010 were chosen as the research object. They were randomly divided into the observation group and the control group with 39 cases in each group. The control group was treated with conventional and com- prehensive methods of care. The observation group was taken intensified intervention on the basis of the control group. The utility time of ventilator after complication with ventilator-associated pneumonia, hospital stay time, complications and mortality rate for the two groups were compared. Results The utility time of ventilator, hospital stay time, complications and mortality rate for the two groups were compared. The observation group had a clear advantage over the control group, there was significant difference. Conclusions Nursing in- tervention can be targeted to enhance the improvement of the overall respiratory status in severe pneumonia complicated with ventilator-associated pneumonia. It contributes to inflammation control, and can reduce u- tility time of ventilator and length of hospital stay, reduce the corresponding incidence of complications and mortality rate, it is worthy of clinical application.
出处
《中国实用护理杂志》
北大核心
2012年第10期7-9,共3页
Chinese Journal of Practical Nursing
关键词
老年重症肺炎
合并呼吸机相关性肺炎
护理干预
Senile severe pneumonia
Complicated with ventilator-associated pneumonia
Nursing intervention
