医疗卫生装备2025，Vol.46Issue(3)：75-80,6.DOI:10.19745/j.1003-8868.2025052
四川省二三级医疗机构呼吸机使用与管理现状调查
Investigation on ventilator use and management in secondary and tertiary medical institutions in Sichuan Province
摘要
Abstract
Objective To investigate the current situation of the ventilator use and management in secondary and tertiary medical institutions in Sichuan Province to provide references for management and training of ventilator users.Methods A questionnaire survey involving in 235 nurses from 13 secondary and tertiary medical institutions in Sichuan Province was conducted in terms of general information of the respondents,pipeline connection and parameter setup of ventilators,cleaning,sterilization and maintenance of ventilators,identification and treatment of ventilator alarms and hospital-acquired infection prevention and control.Results The results showed 20.4％of the respondents were nurses from critical care departments,and 79.6％of the respondents underwent the training for using the ventilator in their department;91.9％of the respondents could conduct ventilator self-testing by connecting the simulated lungs after the ventilator was switched on;66.4％of the respondents indicated that the initial parameters of the ventilator were set by the doctor;60.9％of the respondents proved that the performance monitoring and routine maintenance of the ventilator were carried out by the nurse;63.4％of the respondents showed disposable lines were commonly used in the departments.There were 89.8％of the respondents said the daily sterilization and management of the ventilator were performed by the nurse;46.0％of the respondents expressed the external surface of the ventilator was disinfected mainly with gamma disinfectant wipes;44.7％of the respondents indicated the external surface of the ventilator was sterilized every day;48.5％of the respondents said the internal airway of the ventilator was disinfected;57.0％of the respondents proved the disinfection was conducted after the expiratory flow sensors were used by any patient.There were 74.5％of the respondents that had paid attention to the ventilator waveform,and by the ventilator waveform only 21.3％were correct in determining whether there was secretion or fluid in the circuit and 22.1％in clarifying whether there was air leakage in the circuit.There were 59.1％of the respondents indicated that the closed suction tube was replaced once every 24 h;71.1％of the respondents could perform airbag pressure monitoring by the special pressure gauge.Conclusion Most of the nurses from secondary and tertiary medical institutions in Sichuan Province can use ventilators correctly,who have problems in disinfection specifications,infection prevention and control or recognition of ventilation waveform.It's suggested the training be strengthened to enhance the clinical nursing staffs in ventilator management.[Chinese Medical Equipment Journal,2025,46(3):75-80]关键词
呼吸机/呼吸机管理/呼吸机使用/二三级医疗机构/四川省Key words
ventilator/ventilator management/ventilator utilization/secondary and tertiary medical institutions/Sichuan Pro-vince分类
基础医学引用本文复制引用
梁拯华,王思美,刘秋玉,许金龙,刘泽芳,文丹..四川省二三级医疗机构呼吸机使用与管理现状调查[J].医疗卫生装备,2025,46(3):75-80,6.基金项目
四川省卫生信息学会课题(2024007) （2024007）
国家卫生健康委医院管理研究所医疗质量(循证)管理研究项目(YLZLXZ24G037) （循证）
