摘要
Abstract
Objective To investigate the effect of evidence-based nursing on ventilator-associated pneumonia (VAP) in patients undergoing controlled mechanical ventilation. Methods Eighty -eight patients undergoing controlled mechanical ventilation were enrolled in our hospital from February 2016 to January 2018 were selected. According to the randomized control grouping method, they were divided into the observation group and the control group, 44 cases in each group. The control group patients underwent routine nursing operation, and the observation group patients underwent evidence-based nursing operation. The mechanical ventilation time, invasive ventilation time, hospital stay, ventilator-associated pneumonia rate and unplanned extubation rate were compared between the two groups. Results After treatment, the mechanical ventilation time of the observation group was (11.59±4.44) d, which was significantly shorter than that of the control group ([14.22±5.24] d) (P<0.05). The invasive ventilation time of the observation group was (4.17±1.64) d, which was significantly shorter than that of the control group ([6.46±2.25] d), (P<0.05). The hospital stay of the observation group was (15.84±5.63) d after treatment, which was significantly shorter than the control group ([18.87±6.19] d) (P<0.05). The incidence of respiratory and related pneumonia in the observation group was 15.91％, which was significantly lower than that in the control group (34.09％) (P<0.01). The incidence of unplanned extubation in the observation group was 4.55％, which was significantly lower than that in the control group (13.64％), the difference was statistically significant (P<0.05). Conclusion Evidence-based nursing operation in patients with mechanical ventilation can significantly reduce the incidence of ventilator-associated pneumonia and unplanned extubation, shorten the length of hospital stay and mechanical ventilation time, and save patients' hospitalization expenses. It is worthy of clinical application.关键词
循证护理/机械通气/呼吸机相关性肺炎/通气时间Key words
Evidence-based nursing/Mechanical ventilation/Ventilator-associated pneumonia/Ventilation time分类
医药卫生
