摘要
目的探讨应用不同护理干预措施在控制呼吸机相关性肺炎(VAP)中的作用,以降低VAP的发生率。方法 2010年1月-2011年12月选取行机械通气辅助治疗的住院患者共88例,随机分为两组,其中观察组48例,应用临床护理路径进行护理干预;对照组40例,应用传统的常规护理干预措施。结果观察组VAP发生率为29.17%,对照组为45.00%,两组比较差异有统计学意义(P<0.05);观察组吸痰间隔时间(4.9±2.7)h,对照组为(2.2±1.9)h,两组比较差异有统计学意义(P<0.05);出院时护理工作满意率观察组为89.58%,对照组为77.50%,观察组明显高于对照组,差异有统计学意义(P<0.05)。结论实施临床护理路径能有效地控制气管插管行机械通气患者VAP的发生,有效提高了患者的护理质量满意度,是现代护理发展的方向。
OBJECTIVE To investigate the role of the application of different nursing interventions in the control of ventilator-associated pneumonia（VAP） so as to reduce the incidence of VAP.METHODS A total of 88 hospitalized patients who were treated with mechanical ventilation from Jan 2010 to Dec 2011 were chosen and randomly divided into two groups.The observation group with 48 cases were given the nursing interventions by using clinical nursing path,and the control group with 40 cases received the conventional nursing interventions.RESULTS The incidence rate of VAP was 29.17% in the observation group and 45.00% in the control group,the difference was statistically significant（P0.05）.The suctioning interval was（4.9±2.7） h of the observation group and（2.2±1.9）h of the control group,the difference was statistically significant（P0.05）.The satisfying rate of the nursing intervention as the patients discharged was 89.58% in the observation group,significantly higher than 77.50% in the control group,the difference was statistically significant（P0.05）.CONCLUSION The implementation of clinical nursing path can effectively control the incidence of VAP in patients undergoing endotracheal intubation and mechanical ventilation,effectively improve the satisfying rate of nursing quality of the patients,and is the direction of development of modern nursing.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第4期771-772,共2页
Chinese Journal of Nosocomiology
关键词
护理干预
临床护理路径
呼吸机相关性肺炎
Nursing intervention
Clinical nursing path
Ventilator-associated pneumonia
