摘要
Abstract
Objective To explore the risk factors of ventilator associated pneumonia (VAP) and to develop targeted nursing measures in surgical Intensive Care Unit (ICU). Methods A retrospective analysis was conducted with clinical data of 104 mechanically ventilated patients treated more than 48h in surgical ICU, and the patients were divided into VAP group and non-VAP group. Risk factors with statistical significance were first screened with univariate analysis, and independent risk factors for VAP were identified with stepwise logistic regression analysis, then appropriate nursing interventions based on independent risk factors were performed. Results Univariate analysis indicated that duration of mechanical ventilation, length of stay in surgical ICU, underlying diseases, PICC, emergency, intubation way, history of blood transfusion, OAAS score, coma, hormone, ALB, antibiotics 48h before ventilation and antacid were significant factors affecting VAP in surgical ICU ( P<0.05) but multiple-factor analysis showed that only duration of mechanical ventilation (OR=2.684) and coma (OR=7.547) entered into regression equation and were risk factors for VAP. Conclusion The study on VAP risk factors is beneficial to effective reducing of VAP incidence in surgical ICU.关键词
外科重症监护室/呼吸机相关性肺炎/危险因素/护理Key words
Surgical Intensive Care Unit/ventilator associated pneumonia/risk factor/nursing care分类
医药卫生
