中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
13期
1532-1535
,共4页
王林香%单礼旦%吴坤坤%董晓晨
王林香%單禮旦%吳坤坤%董曉晨
왕림향%단례단%오곤곤%동효신
呼吸机相关性肺炎%机械通气%循证护理
呼吸機相關性肺炎%機械通氣%循證護理
호흡궤상관성폐염%궤계통기%순증호리
Ventilator-associated pneumonia%Mechanical ventilation%Evidence-based nursing
目的 探讨循证护理在呼吸机相关性肺炎(VAP)中的实际临床效果.方法 将2011年1月-2013年6月在我科ICU住院治疗并行机械通气的160例患者随机分为观察组和对照组,其中观察组在常规护理措施的基础上进行循证护理,比较两者的有创通气时间、总通气时间、脱机时间,VAP的发生时间、发生率和病死率.结果 观察组有创通气时间、总通气时间、脱机时间以及VAP发生的时间分别为(3.3±0.6),(10.3±3.8),(2.6±4.3),(9.2±2.8)d,显著低于或晚于对照组的(5.6±3.1),(13.1±3.4),(6.5±4.8),(4.8±2.7)d,差异有统计学意义(t分别为2.58,2.63,2.86,2.79;P＜0.05).而观察组VAP的发生率为16.9％,病死率为10.4％,显著低于对照组的48.1％,34.9％,且差异有统计学意义(x2分别为5.36,4.93;P ＜0.01).结论 循证护理能显著缩短VAP患者的有创通气时间、总通气时间和脱机时间,能有效延缓和减少VAP的发生.
目的 探討循證護理在呼吸機相關性肺炎(VAP)中的實際臨床效果.方法 將2011年1月-2013年6月在我科ICU住院治療併行機械通氣的160例患者隨機分為觀察組和對照組,其中觀察組在常規護理措施的基礎上進行循證護理,比較兩者的有創通氣時間、總通氣時間、脫機時間,VAP的髮生時間、髮生率和病死率.結果 觀察組有創通氣時間、總通氣時間、脫機時間以及VAP髮生的時間分彆為(3.3±0.6),(10.3±3.8),(2.6±4.3),(9.2±2.8)d,顯著低于或晚于對照組的(5.6±3.1),(13.1±3.4),(6.5±4.8),(4.8±2.7)d,差異有統計學意義(t分彆為2.58,2.63,2.86,2.79;P＜0.05).而觀察組VAP的髮生率為16.9％,病死率為10.4％,顯著低于對照組的48.1％,34.9％,且差異有統計學意義(x2分彆為5.36,4.93;P ＜0.01).結論 循證護理能顯著縮短VAP患者的有創通氣時間、總通氣時間和脫機時間,能有效延緩和減少VAP的髮生.
목적 탐토순증호리재호흡궤상관성폐염(VAP)중적실제림상효과.방법 장2011년1월-2013년6월재아과ICU주원치료병행궤계통기적160례환자수궤분위관찰조화대조조,기중관찰조재상규호리조시적기출상진행순증호리,비교량자적유창통기시간、총통기시간、탈궤시간,VAP적발생시간、발생솔화병사솔.결과 관찰조유창통기시간、총통기시간、탈궤시간이급VAP발생적시간분별위(3.3±0.6),(10.3±3.8),(2.6±4.3),(9.2±2.8)d,현저저우혹만우대조조적(5.6±3.1),(13.1±3.4),(6.5±4.8),(4.8±2.7)d,차이유통계학의의(t분별위2.58,2.63,2.86,2.79;P＜0.05).이관찰조VAP적발생솔위16.9％,병사솔위10.4％,현저저우대조조적48.1％,34.9％,차차이유통계학의의(x2분별위5.36,4.93;P ＜0.01).결론 순증호리능현저축단VAP환자적유창통기시간、총통기시간화탈궤시간,능유효연완화감소VAP적발생.
Objective To explore the clinical effect of evidence-based nursing in ventilator-associated pneumonia (VAP).Methods One hundred and sixty patients with mechanical ventilation in our ICU from January 2011 to June 2013 were randomly divided into the observation group and the control group.The control group received the traditional nursing,and the observation group received evidence-based nursing on the basis of the routine nursing.The time of invasive ventilation,the duration of ventilation,the off-line time,the occurrence time of VAP,and the incidence and mortality rates of VAP were compared between two groups.Results The time of invasive ventilation,the duration of ventilation,the off-line time,the occurrence time of VAP in the observation group were respectively (3.3 ± 0.6),(10.3 ± 3.8),(2.6 ± 4.3),(9.2 ± 2.8) d,and were significantly lower or later than (5.6 ± 3.1),(13.1 ± 3.4),(6.5 ± 4.8),(4.8 ± 2.7) d in the control group,and the differences were statistically significant (t =2.58,2.63,2.86,2.79,respectively; P ＜0.05).The incidence and mortality rates of VAP in the observation group were respectively 16.9％ and 10.4％,and were significantly lower than 48.1％ and 34.9％ in the control group,and the differences were statistically significant (x2 =5.36,4.93,respectively; P ＜ 0.01).Conclusions Evidence-based nursing can significantly shorten the time of invasive ventilation,the duration of ventilation and the off-line time; and can also effectively delay and reduce the occurrence of VAP.
