河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
4期
680-683
,共4页
集束化护理%机械通气%呼吸机相关性肺炎%重症监护室
集束化護理%機械通氣%呼吸機相關性肺炎%重癥鑑護室
집속화호리%궤계통기%호흡궤상관성폐염%중증감호실
Bundle nursing intervention%Mechanical ventilation%Ventilator-associated pneumo-nia%Intensive careunit
目的：探讨集束化护理预防重症患者呼吸机相关性肺炎（ VAP ）的临床效果，降低VAP发生率。方法：选择符合标准的患者100例，随机分为观察组和对照组各50例，两组患者均给予常规护理，观察组加用集束化护理，比较二者VAP发生率及入住ICU时间。结果：观察组患者VAP 发生率19．12‰，明显低于对照组的34．48‰，差异有统计学意义（P＞0．05）。观察组患者入住ICU时间（14．57±6．49）d，对照组患者入住ICU时间（18．39±6．84）d，观察组患者入住ICU时间明显短于对照组，差异有统计学意义（ P＞0．05）。观察组发生及未发生VAP的患者入住ICU时间均短于对照组，差异有统计学意义（ P＞0．05）。结论：集束化护理有效预防重症患者VAP的发生，缩短入住ICU时间，提高临床治疗效果，促进患者康复。
目的：探討集束化護理預防重癥患者呼吸機相關性肺炎（ VAP ）的臨床效果，降低VAP髮生率。方法：選擇符閤標準的患者100例，隨機分為觀察組和對照組各50例，兩組患者均給予常規護理，觀察組加用集束化護理，比較二者VAP髮生率及入住ICU時間。結果：觀察組患者VAP 髮生率19．12‰，明顯低于對照組的34．48‰，差異有統計學意義（P＞0．05）。觀察組患者入住ICU時間（14．57±6．49）d，對照組患者入住ICU時間（18．39±6．84）d，觀察組患者入住ICU時間明顯短于對照組，差異有統計學意義（ P＞0．05）。觀察組髮生及未髮生VAP的患者入住ICU時間均短于對照組，差異有統計學意義（ P＞0．05）。結論：集束化護理有效預防重癥患者VAP的髮生，縮短入住ICU時間，提高臨床治療效果，促進患者康複。
목적：탐토집속화호리예방중증환자호흡궤상관성폐염（ VAP ）적림상효과，강저VAP발생솔。방법：선택부합표준적환자100례，수궤분위관찰조화대조조각50례，량조환자균급여상규호리，관찰조가용집속화호리，비교이자VAP발생솔급입주ICU시간。결과：관찰조환자VAP 발생솔19．12‰，명현저우대조조적34．48‰，차이유통계학의의（P＞0．05）。관찰조환자입주ICU시간（14．57±6．49）d，대조조환자입주ICU시간（18．39±6．84）d，관찰조환자입주ICU시간명현단우대조조，차이유통계학의의（ P＞0．05）。관찰조발생급미발생VAP적환자입주ICU시간균단우대조조，차이유통계학의의（ P＞0．05）。결론：집속화호리유효예방중증환자VAP적발생，축단입주ICU시간，제고림상치료효과，촉진환자강복。
Objective:To investigate the clinical efficacy of bundle nursing intervention in prevention from ventilator-associated pneumonia ( VAP ) in patients of ICU , and to decrease the incidence of VAP . Method:A total of 100 eligible patients were selected and randomly divided into observation group and con-trol group , with 50 patients in each group .All the patient were given with usual care , but the observation group given with bundle nursing intervention additionally , and the incidences of VAP and lengths of stay in ICU were compared between the two groups .Result:The incidence of VAP in the patients of the observation group was 19.12‰, was significantly lower than that of the control group ( 34.48‰) , and the difference was statistically significant (P>0.05).The lengths of stay in ICU in the patients of the observation group and control group were (14.57±6.49) days and (18.39±6.84) days, respectively, that in the patients of the ob-servation group was significantly shorter than the control group , and the difference was statistically significant (P>0.05).And the lengths of stay in ICU in the patients with and without VAP of the observation group were shorter than the control group , and the differences were statistically significant ( P>0.05) .Conclusion:Bundle nursing intervention can effective prevent from the occurrence of VAP in patients of ICU , shorten the length of stay in ICU , elevate the clinical efficacy , and promote the rehabilitation in the patients .
