实用临床医药杂志2018，Vol.22Issue(6)：26-29,4.DOI:10.7619/jcmp.201806008
预防RICU机械通气患者呼吸机相关性肺炎的集束化护理干预
Cluster nursing intervention in prevention of ventilator-associated pneumonia in patients with mechanical ventilation in RICU
摘要
Abstract
Objective To study the application of cluster nursing intervention in the prevention of ventilator-associated pneumonia in RICU patients with mechanical ventilation.Methods A total of 80 patients with mechanical ventilation in RICU of our hospital were divided into control group and study group according to random number table method,with 40 cases in each group.The control group was treated with routine nursing intervention,and the study group was given cluster nursing intervention.The incidence of VAP,hospitalization time,mechanical ventilation time and quality of life before and after nursing were observed and compared between the two groups.Results After nursing,the incidence of VAP in the study group was 7.5％ (3/40),which was lower than 32.5％ (13/40) in the control group (P ＜ 0.05).The time of hospitalization and the time of mechanical ventilation were lower in the study group than that in the control group (P ＜ 0.05).The SF-36 scores after nursing in the two groups were higher than nursing before,and the study group was higher than the control group (P ＜ 0.05).Conclusion Cluster nursing intervention can effectively inhibit the secretion of oral plaque and mucosal bacterial growth,control the number of bacteria to avoid its access to the respiratory tract,improve immunity,maintain patients'optimistic attitude,improve mental state,reduce the incidence of VAP,and improve the quality of life of patients,so it is worthy of clinical promotion.关键词
集束化护理干预/机械通气/肺炎/生活质量Key words
cluster care intervention/mechanical ventilation/pneumonia/quality of life分类
医药卫生引用本文复制引用
陶钰..预防RICU机械通气患者呼吸机相关性肺炎的集束化护理干预[J].实用临床医药杂志,2018,22(6):26-29,4.基金项目
江苏省南京市科技计划项目(201605029) （201605029）
