加强护理措施干预对呼吸机相关性肺炎的影响分析
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摘要
目的评价加强护理措施干预对呼吸机相关性肺炎发病率的影响。方法收集2010年至2016年医院呼吸内科及ICU使用的呼吸机患者的相关资料,比较加强护理措施监管和干预前后两组患者的VAP发病率。结果加强护理措施监管和干预前,VAP发病率为每千机械通气日29.01例,加强护理措施监管和干预前后,VAP发病率为每千机械通气日15.66例,VAP发病率明显下降,RR=0.54(95%CI 0.51～0.57)。结论加强护理措施干预能有效地降低患者VAP发病率。
Objective To evaluate the effect of intensive nursing intervention on the incidence of ventilatorassociated pneumonia. Methods To collect the relevant data of patients with ventilators used in the Department of respiratory medicine and ICU from 2010 to 2016, and compare the incidence of VAP between the two groups before and after strengthening nursing supervision and intervention. Results Before strengthening the supervision and intervention of nursing measures, the incidence of VAP was 29.01 cases per 1000 mechanical ventilation days. Before and after strengthening the supervision and intervention of nursing measures, the incidence of VAP was 15.66 cases per 1000 mechanical ventilation days, and the incidence of VAP decreased significantly, RR=0.54(95% CI 0.51～0.57). Conclusion To implement the strengthening nursing measures intervention can significantly reduce the incidence of ventilator-associated pneumonia(VAP).
Objective To evaluate the effect of intensive nursing intervention on the incidence of ventilatorassociated pneumonia. Methods To collect the relevant data of patients with ventilators used in the Department of respiratory medicine and ICU from 2010 to 2016, and compare the incidence of VAP between the two groups before and after strengthening nursing supervision and intervention. Results Before strengthening the supervision and intervention of nursing measures, the incidence of VAP was 29.01 cases per 1000 mechanical ventilation days. Before and after strengthening the supervision and intervention of nursing measures, the incidence of VAP was 15.66 cases per 1000 mechanical ventilation days, and the incidence of VAP decreased significantly, RR=0.54(95% CI 0.51～0.57). Conclusion To implement the strengthening nursing measures intervention can significantly reduce the incidence of ventilator-associated pneumonia(VAP).
引文
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[11]田春梅,李德保,孟明哲,等.3种不同护理干预措施对预防呼吸机相关性肺炎的作用[J].中国感染控制杂志,2012,11(1):43-46.
[12]于成琦,吴志娟.综合护理干预对降低呼吸机相关性肺炎的效果观察[J].实用临床医药杂志,2012,16(20):43-44.
[2]Cook DJ,Walter SD,Cook RJ,et al.Incidence of and risk factors for ventilator-associated pneumonia in critically ill patients[J].Annals of Internal Medicine,1998,129(6):433-440.
[3]中华医学会重症医学分会.呼吸机相关性肺炎预防、诊断和治疗指南(2013).中华内科杂志,2013,52(6):524-543.
[4]中华医学会呼吸病学分会.医院获得性肺炎诊断和治疗指南(草案)[J].中华结核和呼吸杂志,1999.22(1):201-203.
[5]刘瑞华,郑彩兰.ICU呼吸机相关性肺炎护理干预[J].中国保健营养,2012,22(14):2686-2687.
[6]伊书峰.ICU中呼吸机相关性肺炎护理的现状研究[J].齐鲁护理杂志,2010,16(5):38-40.
[7]高明榕,成守珍,张妙音,等.集束化综合护理方案预防呼吸机相关性肺炎的研究[J].中国护理管,2010,10(1):12-14.
[8]纪翠红,翟惠敏,王惠珍.呼吸机相关性肺炎护理的研究进展[J].中华护理杂志,2010,45(9):790-792.
[9]盛茜,刘汉.呼吸机相关性肺炎的集束化护理[J].护士进修杂志,2009,24(11):1039-1041.
[10]丁建华,李杰,许德东.综合护理干预对老年患者呼吸机相关性肺炎的作用[J].护士进修杂志,2013,28(12):255-256.
[11]田春梅,李德保,孟明哲,等.3种不同护理干预措施对预防呼吸机相关性肺炎的作用[J].中国感染控制杂志,2012,11(1):43-46.
[12]于成琦,吴志娟.综合护理干预对降低呼吸机相关性肺炎的效果观察[J].实用临床医药杂志,2012,16(20):43-44.