摘要
目的观察集束护理对预防综合重症监护病房(ICU)患者呼吸机相关肺炎(VAP)感染的临床效果。方法选取80例使用呼吸机患者,根据入院顺序随机分为对照组和干预组各40例,对照组采用常规护理,干预组采用集束护理,记录并比较两组患者的祛痰效果、机械通气时间、入住ICU的时间、对护理的满意度、VAP感染率。结果干预组的祛痰效果总有效率为90.00%,高于对照组的72.5%,差异有统计学意义(P<0.05)。干预组患者的机械通气时间(7.82±1.03)d,明显短于对照组(9.24±0.98)d,经t检验分析,差异有统计学意义(P<0.05);干预组平均住ICU时间(10.51±1.27)d也短于对照组(13.68±1.36)d,差异有统计学意义(P<0.05);干预组VAP感染率12.5%,对照组27.5%,差异无统计学意义(P<0.05)。干预组满意率为95.0%,高于对照组的80.0%,差异有统计学意义(P<0.05)。结论集束护理干预有效预防综合ICU患者的VAP感染,祛痰效果良好,缩短了住院时间,提高了患者或家属对护理服务的满意度。
Objective To observe the clinical effect of cluster nursing in the prevention of ventilator associated pneumonia（VAP） in patients in ICU. Methods 80 cases of patients with ventilator,according to the order of admission were randomly divided into control group and intervention group with 40 cases in each group. The control group were treated with routine nursing,the intervention group used cluster nursing. The expectorant effect,mechanical ventilation time,ICU stay time,nursing satisfaction,the infection rate of VAP of the two groups were recorded and compared. Results In the total efficiency of nursing service satisfaction rate,expectorant of intervention group was more efficient than the control group（90. 00% vs. 72. 5%）. The mechanical ventilation time and the average length of stay in ICU [（10. 51 ± 1. 27） d vs.（13. 68 ± 1. 36） d]of the intervention group was shorter than the control group[（7. 82 ± 1. 03） d vs.（9. 24 ± 0. 98） d]. VAP infection rate of the intervention group was lower than the control group（12. 5% vs. 27. 5%）. The differences were statistically significant（P〈0. 05）. Conclusion The cluster nursing intervention can effectively prevent the VAP infection in the patients in ICU. The effect of eliminating phlegm is good,the hospitalization time is shortened,and the satisfaction of the patients or their families to the nursing service is improved.
作者
王兰
WANG Lan(Department of Critical Care Medicin;the Fourth Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230011,China)
出处
《安徽医药》
CAS
2018年第8期1614-1617,共4页
Anhui Medical and Pharmaceutical Journal
