摘要
目的探讨集束化护理方案预防呼吸机相关性肺炎的效果。方法选择2011年1月～2013年1月我院行机械通气的60例患者作为研究对象．根据护理方法不同分为干预组和对照组各30例，对照组行常规对症随机化护理，干预组制定集束化护理方案，比较两组VAP的发生率以及机械通气时间、血气分析指标干预前后的变化。结果干预组VAP的发生率达13.3％，明显低于对照组（30．0％），差异有统计学意义（P〈0．05）。干预组机械通气时间明显短于对照组（P〈0．05）。干预组患者的PO2较干预前及对照组明显提高，PCO2较干预前及对照组明显降低（P〈0．05）。结论对机械通气患者实施集束化护理方案可以降低呼吸机相关性肺炎的发生率，缩短机械通气时间．改善血气分析各项指标，有利于疾病的恢复。
Objective TO investigate the effect of cluster care programs prevention of ventilator-associated pneumonia. Methods From January 2011 to January 2013, 60 patients were divided into intervention group and control group of 30 cases,the control group underwent conventional symptomatic random nursing, intervention group was given the cluster care programs, the incidence of VAP were compared, and changes in the duration of mechanical ventilation, blood gas analysis before and after the intervention were compared. Results The VAP incidence rate of intervention group was 13.3%, was significantly lower than the control group（30.0%）, the difference was signifieant（P 〈 0.05）. In- tervention of mechanical ventilation was significantly shorter than the control group, the difference was significant（P 〈 0.05）. P02 of the intervention group patients compared with before the intervention and control groups improved sig- nificantly after the intervention, PCO2 compared with before the intervention and the control group was significantly lower, the difference was significant （P 〈 0.05）. Conclusion The implementation of cluster care of mechanically ven- tilated patients can reduce the incidence of anti ventilator-associated pneumonia, shorten the duration of mechanical ventilation, blood gas analysis indicators, is conducive to the recovery of the disease.
出处
《中国现代医生》
2013年第19期96-97,100,共3页
China Modern Doctor
基金
广东省深圳市科技计划项目(201203068)
