CAJ | 학술논문

目的研究重症监护室(ICU)运用集束化护理干预体系预防呼吸机相关性肺炎(VAP)的效果,探讨预防VAP有效的护理方法.方法将ICU 2010年6月-2011年10月收治的160例行机械通气治疗超过48 h的患者随机分为实验组和对照组各80例,实验组采用集束化护理干预体系,对照组采用常规护理,分析集束化护理对机械通气患者的护理效果.结果实验组患者胸部放射线、纤维支气管镜目测检查的好转率明显高于对照组,实验组发生特殊耐药菌感染的病例数明显降低,VAP的发生率由原来的42.55例/1000机械通气日降到19.05例/1000机械通气日,差异有显著性(P＜0.05).护士执行护理措施的依从性也明显提高.结论集束化护理干预体系能明显降低VAP的发生率和病死率,提高护理质量.
목적 연구중증감호실(ICU)운용집속화호리간예체계예방호흡궤상관성폐염(VAP)적효과,탐토예방VAP유효적호리방법.방법 장ICU 2010년6월-2011년10월수치적160례행궤계통기치료초과48 h적환자수궤분위실험조화대조조각80례,실험조채용집속화호리간예체계,대조조채용상규호리,분석집속화호리대궤계통기환자적호리효과.결과 실험조환자흉부방사선、섬유지기관경목측검사적호전솔명현고우대조조,실험조발생특수내약균감염적병례수명현강저,VAP적발생솔유원래적42.55례/1000궤계통기일강도19.05례/1000궤계통기일,차이유현저성(P＜0.05).호사집행호리조시적의종성야명현제고.결론 집속화호리간예체계능명현강저VAP적발생솔화병사솔,제고호리질량.
Objective To study the effect of the bundle nursing intervention system for preventing ventilator associated pneumonia (VAP) in intensive care unit (ICU),and the effective nursing method for preventing VAP.Methods 160 patients accepting mechanical ventilation for more than 40 hours from June 2010 to October 2011 in ICU were randomly divided into two groups.80 patients in the experimental group received bundle nursing intervention and the control group received the routine nursing,and the curative effect of bundle nursing for mechanical ventilation patients were analyzed in two groups.Results The chest radiology,fiberoptic bronchoscope for visual examination of the improvement rate in experimental group were higher than those of the control group, the case number of special drug resistant bacteria infection in experimental group was significantly increased,the occurrence of VAP dropped from 42.55 cases/1000 mechanical ventilation days to 19.05/1000 mechanical ventilation,there was significant difference in these two groups (P＜0.05),the nurses' compliance to implement care also improved significantly.Conclusion The bundle nursing intervention system can reduce the incidence and mortality of VAP,and improve the nursing quality.