国际护理学杂志
國際護理學雜誌
국제호이학잡지
International Journal of Nursing
2015年
17期
2325-2329
,共5页
呼吸机%护士%重症监护室(ICU)%掌握%调查分析
呼吸機%護士%重癥鑑護室(ICU)%掌握%調查分析
호흡궤%호사%중증감호실(ICU)%장악%조사분석
Ventilator%Nurse%Intensive care unit ( ICU)%Mastery%Investigate
目的：了解十堰地区二级甲等以上医院ICU护士呼吸机技术的掌握程度,分析目前存在的不足。方法对十堰13所二级甲等以上医院280名ICU护士进行问卷调查。结果13所二级甲等以上医院280名ICU护士,92%能完整正确的连接呼吸机管道；52%能根据自主呼吸正确选择呼吸机模式；65%可识别高压报警；35%在接触不同患者前后洗手,83%能适时为机械通气患者吸痰,56%一日行两次口腔护理；49%使用戊二醛浸泡消毒呼吸机管道,58%仅在污染后更换呼吸机管道。结论 ICU护士基本模式和参数设置知识欠缺,报警的识别及处理有待加强学习,VAP的预防操作不够规范,呼吸机清洗、消毒方面需加强管理。
目的：瞭解十堰地區二級甲等以上醫院ICU護士呼吸機技術的掌握程度,分析目前存在的不足。方法對十堰13所二級甲等以上醫院280名ICU護士進行問捲調查。結果13所二級甲等以上醫院280名ICU護士,92%能完整正確的連接呼吸機管道；52%能根據自主呼吸正確選擇呼吸機模式；65%可識彆高壓報警；35%在接觸不同患者前後洗手,83%能適時為機械通氣患者吸痰,56%一日行兩次口腔護理；49%使用戊二醛浸泡消毒呼吸機管道,58%僅在汙染後更換呼吸機管道。結論 ICU護士基本模式和參數設置知識欠缺,報警的識彆及處理有待加彊學習,VAP的預防操作不夠規範,呼吸機清洗、消毒方麵需加彊管理。
목적：료해십언지구이급갑등이상의원ICU호사호흡궤기술적장악정도,분석목전존재적불족。방법대십언13소이급갑등이상의원280명ICU호사진행문권조사。결과13소이급갑등이상의원280명ICU호사,92%능완정정학적련접호흡궤관도；52%능근거자주호흡정학선택호흡궤모식；65%가식별고압보경；35%재접촉불동환자전후세수,83%능괄시위궤계통기환자흡담,56%일일행량차구강호리；49%사용무이철침포소독호흡궤관도,58%부재오염후경환호흡궤관도。결론 ICU호사기본모식화삼수설치지식흠결,보경적식별급처리유대가강학습,VAP적예방조작불구규범,호흡궤청세、소독방면수가강관리。
Objective To explore the status quo of the ventilator technology of ICU nurses in secondary hospi-tals of Shiyan, and to analyze the existing shortcomings, to strengthen the theory and practice of the ventilator for the current shortcomings to improve the treatment success rate of critically ill patients. Methods Questionnaire was estab-lished by literature review, expert consultation and group discussion, to investigate the mastery of the ventilator technolo-gy for 13 ICUs 280 nurses in secondary hospitals of Shiyan. Results In the connected of ventilator tube:92% could correctly complete the connection of the ventilator tube;in the mode and parameter settings: 52% could choice the cor-rect ventilator mode according to the spontaneous breathing; in the identification and treatment of the common alarm:65% could identify the high-pressure alarm; in the prevention of VAP: 35% washed their hands when their contact with different patients before and after, 83% couldaspirate sputum for mechanically ventilated patients when patients need, 56% did oral care twice a day;in ventilator management: 49% used the glutaraldehyde solution to disinfection ventilator tube, only 58% replaced the ventilator tube in pollution. Conclusions ICU nurses lack the knowledge about the mode and parameter settings, must enhance learning the identification and treatment of the alarm, the VAP preven-tion of operation is not standardized, strengthen ventilator management in the ventilator cleaning and disinfection.
