期刊文献+

自制床头抬高标识杆提高ICU护士抬高床头依从性效果观察 被引量:4

下载PDF
导出
摘要 目的探讨自制床头抬高标识杆提高ICU护士抬高床头依从性的效果。方法选择我院重症医学科2015年3月1日—5月31日行有创机械通气的56例患者为研究对象,按照床位编号将患者分组,双号床患者27例为观察组,自制床头抬高标识杆:将普通输液架插于床头作为标识杆,事先使用量角器测量出床头抬高角度30°、45°时以床头水平线延伸线与输液杆的交点位置,用记号笔标记并分别用蓝色、红色胶带贴示;使用自制床头抬高标识杆标示床头抬高角度。单号床29例患者为对照组,使用传统方法常规管理床头抬高角度。2组均每天检查床头抬高角度3次(检查时间点为10:00、17:00、1:00),床头抬高30°~45°为达标,2较2组床头抬高的达标率。结果观察组共检查490例次,总达标率91.2%,对照组501例次,总达标率50.3%,观察组在各个时间点床头抬高达标率均高于对照组,差异有统计学意义(P<0.001)。结论应用自制床头抬高标识杆可提高ICU有创机械通气患者床头抬高达标率,提高护士执行抬高床头的依从性。
出处 《护理学报》 2018年第6期73-74,共2页 Journal of Nursing(China)
  • 相关文献

参考文献3

二级参考文献25

  • 1Helman DL Jr,Sherner JH 3rd,Fitzpatrick TM,et al.Effect of standardized orders and provider education on head-of-bed positioning in mechanically ventilated patients[J].Crit Care Med,2003,31(9):2285-2290.
  • 2Bloos F,Müller S,Harz A,et al.Effects of staff training on the care of mechanically ventilated patients:a prospective cohort study[J].Br J Anaesth,2009,103(2):232-237.
  • 3Bird D,Zambuto A,O'Donnell C,et al.Adherence to ventilator-associated pneumonia bundle and incidence of ventilator-associated pneumonia in the surgical intensive care unit[J].Arch Surg,2010,145(5):465-470.
  • 4Resar R,Pronovost P,Haraden C,et al.Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia[J].Jt Comm J Qual Patient Saf,2005,31(5):243-248.
  • 5Hiner C,Kasuya T,Cottingham C,et al.Clinicians' perception of head-of-bed elevation[J].Am J Crit Care,2010,19(2):164-167.
  • 6Rello J,Ollendorf DA,Oster G,et al.Epidemiology and outcomes of ventilator-associated pneumonia in a large US database[J].Chest,2002,122(6):2115-2121.
  • 7Melsen MG,Rovers MM,Bonten MJM.Ventilator-associated-pneumonia and mortality:A systemic review of observational studies[J].Crit Care Med,2009,37:2709-2718.
  • 8Arabi Y,Al-Shirawi N,Memish Z,et al.Ventilator-associated pneumonia in adults in developing countries:a systematic review[J].Int J Infect Dis,2008,12(5):505-512.
  • 9Chawla R.Epidemiology,etiology,and diagnosis of hospital-acquired pneumonia and ventilator-associated pneumonia in Asian countries[J].Am J Infect Control,2008,36(4 Suppl):S93-100.
  • 10Kollef MH.Ventilator-associated pneumonia.A multivariate analysis[J].JAMA,1993,270(16):1965-1970.

共引文献235

同被引文献30

引证文献4

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部