CAJ | 학술논문

目的：评价循证护理在预防呼吸机相关性肺炎中的应用效果。方法选择我院2012年6月至2014年2月间收治的128例采用呼吸机机械通气治疗的患者作为研究对象，按照护理方式的不同分为循证护理组（观察组）和常规护理组（对照组），每组各有64例患者，比较2组患者的机械通气时间及呼吸机相关性肺炎的发生率。结果观察组患者经循证护理后，机械通气时间及呼吸机相关性肺炎发生率分别为（4．9±1．5）d和9％，均低于对照组患者的（9．6±2．8）d和23％，差异有统计学意义（ P ＜0.05）。结论对呼吸机机械通气治疗患者实施循证护理不仅能够缩短机械通气治疗时间，还能够有效预防呼吸机相关性肺炎，值得临床进一步推广使用。
목적：평개순증호리재예방호흡궤상관성폐염중적응용효과。방법선택아원2012년6월지2014년2월간수치적128례채용호흡궤궤계통기치료적환자작위연구대상，안조호리방식적불동분위순증호리조（관찰조）화상규호리조（대조조），매조각유64례환자，비교2조환자적궤계통기시간급호흡궤상관성폐염적발생솔。결과관찰조환자경순증호리후，궤계통기시간급호흡궤상관성폐염발생솔분별위（4．9±1．5）d화9％，균저우대조조환자적（9．6±2．8）d화23％，차이유통계학의의（ P ＜0.05）。결론대호흡궤궤계통기치료환자실시순증호리불부능구축단궤계통기치료시간，환능구유효예방호흡궤상관성폐염，치득림상진일보추엄사용。
Objective To evaluate the effect of evidence-based nursing on preventing ventilator associated pneumonia .Methods According to different nursing methods ,128 cases ,who were treated by mechanical ventila-tion in our hospital were divided into evidence-based nursing group (observation group) and routine nursing group (control group) .Each group had 64 patients ,and the incidence of mechanical ventilation time and ventilator asso-ciated pneumonia were compared .Results The mechanical ventilation time and the incidence of ventilator-associat-ed pneumonia were (4 .9 ± 1 .5)d and 9% in observation group respectively ,which were lower than those in con-trol group (9 .6 ± 2 .8)d and 23% .There was significant difference between two groups ( P<0 .05).Conclusion Evidence-based nursing can shorten the mechanical ventilation time and prevent ventilator associated pneumonia ef-fectively ,and it′s worthy of further clinical application.