摘要
目的探讨急诊重症监护病房呼吸机相关性肺炎危险因素及护理对策。方法选取2016年4月至2018年2月急诊重症监护病房呼吸机治疗患者76例,所有患者入院后完善相关检查,查阅病例资料,统计并记录入组患者性别、年龄、基础疾病、插管方式、气管切开、使用抑酸剂、机械通气时间、入住ICU时间、是否使用激素及留置胃管,对上述危险因素进行单因素与多因素logistic回归分析。结果入组的76例呼吸机治疗患者中21例发生呼吸机相关性肺炎,发生率为27. 63%。单因素及多因素logistic回归分析结果表明,急诊重症监视病房呼吸机相关性肺炎发生率与性别、基础疾病、插管方式、使用抑酸剂无相关性(P> 0. 05),急诊重症监视病房呼吸机相关性肺炎发生率与年龄≥50岁、气管切开、机械通气时间≥7 d、入住ICU时间≥7 d、使用激素、留置胃管≥2 d具有相关性(P <0. 05)。结论急诊重症监视病房呼吸机相关性肺炎发生率较高,且危险因素较多,应根据危险因素制定有效的护理对策,降低呼吸机相关性肺炎发生率。
Objective To explore the risk factors for ventilator-associated pneumonia in emergency intensive care unit and its nursing strategies.Methods To select 76 cases of patients who were treated with ventilator in the emergency intensive care unit from April 2016 to February 2018.After the admission to the hospital,all of them completed the relevant examination and reviewed the case data.The information of gender,age,basic disease,intubation method,tracheal incision,use of antacids,mechanical ventilation time,ICU stay time,use of hormones and indwelling gastric tube were collected and recorded.Using univariate factor and multivariate logistic regression analysis to analyze the above risk factors.Results Among the 76 patients who received ventilator therapy,there were 21 patients had ventilator-associated pneumonia,with an incidence of 27.63%.Univariate and multivariate logistic regression analysis showed that the incidence of ventilator-associated pneumonia in emergency intensive care unit was not associated with gender,basic disease,intubation method,and use of antacids(P>0.05).The incidence of ventilator-associated pneumonia in emergency intensive care unit was related to age that≥50 years old,tracheal incision,mechanical ventilation time that≥7 days,ICU stay that≥7 days,use of hormone,and indwelling gastric tube time that≥2 days(P<0.05).Conclusion The incidence of ventilator-associated pneumonia in emergency intensive care unit is high.There are many risk factors.Effective nursing strategies should be developed according to risk factors to reduce the incidence of ventilator-associated pneumonia.
出处
《护理实践与研究》
2019年第1期4-6,共3页
Nursing Practice and Research
关键词
急诊重症监视病房
呼吸机相关性肺炎
危险因素
护理对策
Emergency intensive care unit
Ventilator-associated pneumonia
Risk factors
Nursing countermeasures
