摘要
目的:探讨集束化护理干预在ICU建立人工气道重症产妇中的应用效果。方法:回顾性分析我院ICU病房于2013年3月~2017年3月收治的87例重症产妇,随机将重症产妇分为对照组42例和集束化组45例,对照组重症产妇采用常规护理,集束化组重症产妇在此基础上实施集束化护理,比较两组患者的意外脱管发生率、呼吸机相关性肺炎(VAP)、机械通气时间、ICU住院时间及病死率情况。结果:集束化组重症产妇的意外脱管发生率、VAP发生率显著低于对照组,差异具有统计学意义(P<0.05)。集束化组重症产妇的机械通气时间、ICU住院时间显著低于对照组,差异具有统计学意义(P<0.05),对照组和集束化组重症产妇的死亡率基本相同,差异无统计学意义(P>0.05)。结论:集束化护理能有效降低意外脱管发生率、VAP发生率,减少产妇治疗时间,节约治疗费用,值得临床作进一步推广。
Objective：To discuss the effect of application of cluster nursing intervention in severe puerperae establishing artificial airway in ICU. Methods： Retrospective analysis was conducted to 87 cases of severe puerperae admitted to ICU of our hospital from March 2013 to March 2017 , and they were divided into control group （42 cases） and cluster nursing group （45 cases） at random. Routine nursing was given to the control group, and cluster nursing was giv-en to the cluster nursing group on the basis of routine nursing, and the patients from two groups were compared in accidental tube knockout occurrence rate, ventilator - associated pneumonia （VAP） , mechanical ventilation time, ICU stay and case fatality rate. Results ： The cluster nursing group had significantly lower accidental tube knockout occurrence rate and VAP occurrence rate than the control group, and the difference was of statistical significance （P〈0.05）. The cluster nursing group had significantly lower mechanical ventilation time and ICU stay than the control group, and the difference was of statistical signifi-cance （P 〈0.05）. The control group and the cluster nursing group had basically same death rate, and the difference was of no statistical significance （ P 〉 0. 05）. Conclusion： Cluster nursing could effectively reduce the accidental tube knockout occurrence rate, VAP occurrence rate, and maternal treatment time, and save the treatment cost, therefore, it was worthy of popularization.
作者
黄海英
邬敏志
李景姗
HUANG Hai - ying WU Min - zhi LI Jing - shall(Boái Hospital of Zhongshan City, Zhongshan 52840)
出处
《护理实践与研究》
2017年第10期35-37,共3页
Nursing Practice and Research
基金
中山市医学科研项目(2015A020016)
关键词
集束化护理
重症产妇
人工气道
肺部感染
应用价值
Cluster nursing
Severe puerperae
Artificial airway
Pulmonary infection
Application value
