中国感染控制杂志2017，Vol.16Issue(2)：134-137,4.DOI:10.3969/j.issn.1671-9638.2017.02.008
专人监督执行集束化管理方案对预防呼吸机相关肺炎的效果
Efficacy of bundle care under the supervision of professionals in preventing ventilator-associated pneumonia
摘要
Abstract
Objective To investigate the efficacy of bundle care under the supervision of professionals in preven-ting ventilator-associated pneumonia(VAP). Methods Patients who received mechanical ventilation between July 2013 and June 2014 in the intensive care unit(ICU)of a hospital were selected,July-December 2013 was as control group (n= 150),patients received bundle care,but without special supervision;January-June 2014 was as special supervision group (n= 177),patients received bundle care under the supervision of professionals,incidence of VAP,duration of mechanical ventilation,and length of ICU stay were compared between two groups. Results In special supervision group,141 patients received invasive mechanical ventilation,mechanical ventilation day were 1937 days,9 patients developed VAP,incidence of VAP was 4.65‰ ;in control group,127 patients received inva-sive mechanical ventilation,mechanical ventilation day were 1965 days,21 patients developed VAP,incidence of VAP was 10.69‰ ,difference was statistically significant between two groups(χ2= 5.68,P= 0.042). In special su-pervision group,overall compliance rate of bundle management strategies,duration of average invasive mechanical ventilation,and length of ICU stay were 94.92% ,(11.11±2.57)days,and(15.11±2.88)days respectively,in con-trol group were 48.67% ,(14.67±4.35)days,and(19.33±5.81)days respectively,difference was statistically sig-nificant between two groups (all P<0.05). Conclusion Bundle care strategies supervised by professionals can ef-fectively prevent the occurrence of VAP,the implementation of bundle care strategies should be set up according to the clinical practice.关键词
重症监护病房/集束化方案/机械通气/呼吸机相关肺炎Key words
intensive care unit/bundle care strategy/mechanical ventilation/ventilator-associated pneumonia分类
医药卫生引用本文复制引用
康福新,王小智..专人监督执行集束化管理方案对预防呼吸机相关肺炎的效果[J].中国感染控制杂志,2017,16(2):134-137,4.基金项目
海南省自然科学基金项目(811166) （811166）
