CAJ | 학술논문

目的：探讨引起高龄患者呼吸机相关性肺炎（ventilator-associated pneumonia ，VAP）的相关因素及护理干预措施。方法选取解放军总医院海南分院2009年1月至2012年12月南楼CCU 病房40例使用机械通气时间≥48 h患者的相关资料，随机将其分为对照组和观察组，每组20例，对照组的20例患者进行常规护理，观察组的20例患者在常规护理的基础上进行体位护理干预、口腔护理干预、护理管理干预以及气道护理干预等护理干预措施，对比上述两组患者 VAP发生率。结果观察组患者的 VAP发生例数1例（5％），相比于对照组患者的 VAP发生例数7例（35％），两组患者 VAP发生率的差异具有显著性差异（χ2＝3.90，P＜0.05）。结论对呼吸机相关性肺炎患者进行科学与积极的护理干预有助于保障临床治疗效果、提高临床护理质量，值得推广。
목적：탐토인기고령환자호흡궤상관성폐염（ventilator-associated pneumonia ，VAP）적상관인소급호리간예조시。방법선취해방군총의원해남분원2009년1월지2012년12월남루CCU 병방40례사용궤계통기시간≥48 h환자적상관자료，수궤장기분위대조조화관찰조，매조20례，대조조적20례환자진행상규호리，관찰조적20례환자재상규호리적기출상진행체위호리간예、구강호리간예、호리관리간예이급기도호리간예등호리간예조시，대비상술량조환자 VAP발생솔。결과관찰조환자적 VAP발생례수1례（5％），상비우대조조환자적 VAP발생례수7례（35％），량조환자 VAP발생솔적차이구유현저성차이（χ2＝3.90，P＜0.05）。결론대호흡궤상관성폐염환자진행과학여적겁적호리간예유조우보장림상치료효과、제고림상호리질량，치득추엄。
Objective Discussion on factors related to elderly patients with ventilator- associated pneumonia and nursing interven-tion .Methods In our hospital in 2009 January to 2012 December ,40 cases of CCU unit using mechanical ventilation time ≥ 48 h patients of the relevant information ,and randomly divided into control group and observation group ,20 cases in each group ,routine nursing care for 20 cases of patients in the control group ,20 patients in observation group were postural nursing intervention based on routine nursing care , the oral nursing ,nursing management interventions and airway nursing intervention and nursing intervention measures ,in contrast to the above two groups of VAP patients and the incidence of .Results the observation group the incidence of VAP in 1 case ,the compared to the control group there were 7 cases of VAP numbers ,two groups of patients the incidence of VAP is significant (P<0.05) .Conclusion the breathing machine correlation pneumonia patients for science and positive nursing intervention helps to ensure the clinical treatment effect and improve the quality of clinical care ,is worth popularizing .