中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
33期
99-100,101
,共3页
护理优化%干预策略%预防%呼吸机相关性肺炎
護理優化%榦預策略%預防%呼吸機相關性肺炎
호리우화%간예책략%예방%호흡궤상관성폐염
Optimization of nursing%Intervention strategies%Prevention%Ventilator-associated pneumonia
目的：探讨通过优化干预护理的各项措施达到预防呼吸机相关性肺炎的作用。方法：选取2013年在笔者所在医院重症监护病房行有创机械通气且治疗时间≥48 h的73例患者，按照随机数字表法将其分为试验组37例和对照组36例，试验组严格执行护理的各项优化干预策略，对照组不做严格要求，采用常规的护理方法，观察比较两组患者的呼吸机相关性肺炎的发生情况。结果：经过护理后，试验组的VAP发生率29.73%(11/37)明显低于对照组的52.78%(19/36)，差异有统计学意义(χ2=4.004，P=0.045)。结论：ICU患者执行VAP预防的护理优化干预策略可有效降低VAP的发生率，值得临床推广应用。
目的：探討通過優化榦預護理的各項措施達到預防呼吸機相關性肺炎的作用。方法：選取2013年在筆者所在醫院重癥鑑護病房行有創機械通氣且治療時間≥48 h的73例患者，按照隨機數字錶法將其分為試驗組37例和對照組36例，試驗組嚴格執行護理的各項優化榦預策略，對照組不做嚴格要求，採用常規的護理方法，觀察比較兩組患者的呼吸機相關性肺炎的髮生情況。結果：經過護理後，試驗組的VAP髮生率29.73%(11/37)明顯低于對照組的52.78%(19/36)，差異有統計學意義(χ2=4.004，P=0.045)。結論：ICU患者執行VAP預防的護理優化榦預策略可有效降低VAP的髮生率，值得臨床推廣應用。
목적：탐토통과우화간예호리적각항조시체도예방호흡궤상관성폐염적작용。방법：선취2013년재필자소재의원중증감호병방행유창궤계통기차치료시간≥48 h적73례환자，안조수궤수자표법장기분위시험조37례화대조조36례，시험조엄격집행호리적각항우화간예책략，대조조불주엄격요구，채용상규적호리방법，관찰비교량조환자적호흡궤상관성폐염적발생정황。결과：경과호리후，시험조적VAP발생솔29.73%(11/37)명현저우대조조적52.78%(19/36)，차이유통계학의의(χ2=4.004，P=0.045)。결론：ICU환자집행VAP예방적호리우화간예책략가유효강저VAP적발생솔，치득림상추엄응용。
Objective:To investigate the role of prevention to achieve ventilator-associated pneumonia (VAP) through optimizing of measures to care. Method:73 patients with invasive mechanical ventilation and treatment time ≥ 48 h in intensive care unit(ICU) of our hospital in 2013 were selected,they were divided into the experimental group for 37 cases and the control group for 36 cases according to the random number table method.The experimental group was strictly given the optimization of nursing intervention strategies,the control group was not strict,was given conventional nursing methods.The incidence of ventilator-associated pneumonia cases between the two groups were observed and compared.Result:After nursing,the incidence of VAP in experimental group was 29.73%(11/37),it was significantly lower than 52.78%(19/36) in control group,the difference was statistically significant(χ2=4.004,P=0.045). Conclusion:Implementation of VAP prevention and nursing intervention in patients with ICU optimization strategy can effectively reduce the incidence of VAP,it is worthy of clinical application.
