中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2010年
31期
18-20
,共3页
呼吸机相关性肺炎%危险因素%多因素分析%护理
呼吸機相關性肺炎%危險因素%多因素分析%護理
호흡궤상관성폐염%위험인소%다인소분석%호리
Ventilator-associated pneumonia%Risk factors%Multivariate analysis%Nursing
目的 探讨综合ICU内呼吸机相关性肺炎(VAP)的发病率、危险因素以及护理对策.方法 采用回顾性调查的方式.回顾2009年1～12月综合性ICU内机械通气时间＞48 h的患者98例,使用调查表收集患者的临床资料,分为VAP组35例和非VAP组63例,对资料进行单因素分析与多元逐步Logistic回归分析,确定VAP的相关因素.结果 VAP的发病率为35.7%.单因素分析结果显示APACHEⅡ评分的高低、机械通气时间的长短、是否有原发肺部疾病、是否使用抑酸剂、是否半卧位、是否意外脱管、口腔护理方式、是否声门下吸引这8项与VAP的发生有关.多因素Logistic回归分析结果显示机械通气时间的长短、是否半卧位、是否声门下吸引这3项是VAP发生的相关因素.结论 VAP是多种因素共同导致的结果;针对VAP的危险因素制定综合的护理对策,才能有效降低VAP的发病率.
目的 探討綜閤ICU內呼吸機相關性肺炎(VAP)的髮病率、危險因素以及護理對策.方法 採用迴顧性調查的方式.迴顧2009年1～12月綜閤性ICU內機械通氣時間＞48 h的患者98例,使用調查錶收集患者的臨床資料,分為VAP組35例和非VAP組63例,對資料進行單因素分析與多元逐步Logistic迴歸分析,確定VAP的相關因素.結果 VAP的髮病率為35.7%.單因素分析結果顯示APACHEⅡ評分的高低、機械通氣時間的長短、是否有原髮肺部疾病、是否使用抑痠劑、是否半臥位、是否意外脫管、口腔護理方式、是否聲門下吸引這8項與VAP的髮生有關.多因素Logistic迴歸分析結果顯示機械通氣時間的長短、是否半臥位、是否聲門下吸引這3項是VAP髮生的相關因素.結論 VAP是多種因素共同導緻的結果;針對VAP的危險因素製定綜閤的護理對策,纔能有效降低VAP的髮病率.
목적 탐토종합ICU내호흡궤상관성폐염(VAP)적발병솔、위험인소이급호리대책.방법 채용회고성조사적방식.회고2009년1～12월종합성ICU내궤계통기시간＞48 h적환자98례,사용조사표수집환자적림상자료,분위VAP조35례화비VAP조63례,대자료진행단인소분석여다원축보Logistic회귀분석,학정VAP적상관인소.결과 VAP적발병솔위35.7%.단인소분석결과현시APACHEⅡ평분적고저、궤계통기시간적장단、시부유원발폐부질병、시부사용억산제、시부반와위、시부의외탈관、구강호리방식、시부성문하흡인저8항여VAP적발생유관.다인소Logistic회귀분석결과현시궤계통기시간적장단、시부반와위、시부성문하흡인저3항시VAP발생적상관인소.결론 VAP시다충인소공동도치적결과;침대VAP적위험인소제정종합적호리대책,재능유효강저VAP적발병솔.
Objective To explore the morbidity, risk factors and nursing of ventilator-associated pneumonia (VAP) in comprehensive ICU. Methods It was a retrospective survey. 98 mechanical ventilation (＞ 48 h) patients from Jan to Dec, 2009 in comprehensive ICU were reviewed using questionnaires to collect the clinical data. They were divided into the VAP and the non-VAP group. Several statistically significant risk factors were screened out with univarite analysis, then independent risk factors were determined with multiple Logistic regression. Results The morbidity of VAP was 35.7%. Univariate analysis showed that the level of APACHE Ⅱ score, duration of mechanical ventilation, whether primary lung disease, whether acid-suppressing agents, whether the semi-supine, whether accidental tube removal, oral care approach, whether attracted to subglottic were statistically significant risk factors of VAP. While multivariate Logistic regression analysis showed that the duration of mechanical ventilation, whether the semi- supine,whether attracted to subglottic were the major risk factors of VAP. Conclusions The occurrence of VAP is related with multiple factors. Application of comprehensive prevention strategies in accordance with these risk factors of VAP can reduce the morbidity of VAP effectively.
