摘要
目的:探讨综合气道管理、风险管理联合心理干预在预防呼吸机相关性肺炎中的应用。方法:选取2016年3月-2018年3月我院呼吸科收治的患者120例,根据干预方法不同分成两组,对照组采用综合气道管理、风险管理进行干预,研究组采用综合气道管理、风险管理联合心理干预,对比两组患者干预结果。结果:对照组患者口腔Ⅰ度、Ⅱ度明显高于研究组(χ~2=4.285,5.461;P<0.05),Ⅲ度明显低于研究组(χ~2=6.529,P<0.05);对照组患者机械通气时间、住院时间和抗生素使用情况多于研究组(t=7.174,6.254,6.374;P<0.05);研究组患者实施气道管理后第1周、第2周、第3周呼吸机相关性肺炎发生率及总发生率均明显低于对照组(F=5.749,4.734,4.274,6.835;P<0.05);研究组患者社会、环境、生理、心理评分明显高于对照组(t=6.934,5.163,6.153,8.011;P<0.05)。结论:采用综合气道管理、风险管理联合心理干预有利于患者口腔保持干净,减少抗生素的使用和机械通气时间,明显提高护理人员的满意度,有效降低呼吸机相关性肺炎的发生。
Objective:To explore the application of integrated airway management,risk management and psychological intervention in the prevention of ventilator-associated pneumonia.Methods:A total of 120cases of ventilatorassociated pneumonia in our hospital in March 2016-2018March were selected and divided into two groups according to the different intervention methods,The control group was treated with comprehensive airway management andrisk management,The study group adopted comprehensive airway management and risk management combined psychological intervention,and the intervention results of the two groups were compared.Results:The oral and seconddegree of oral cavity in the control group were significantly higher than those in the study group(χ2=4.285,5.461;P<0.05)and the degree of III was significantly lower than that of the study group(χ2=6.529,P<0.05),The timeof mechanical ventilation,the time of hospitalization and the use of antibiotics in the control group were more thanthose of the study group(t=7.174,6.254,6.374;P<0.05);The patients in the study group were related to the ventilator correlation at first,second,and third weeks after the airway management,The incidence and total incidence ofpneumonia were significantly lower than those in the control group(F=5.749,4.734,4.274,6.835;P<0.05),and thescores of social,environmental,physiological and psychological factors in the study group were significantly higherthan those in the control group(t=6.934,5.163,6.153,8.011;P<0.05).Conclusion:The combined psychological intervention of comprehensive airway management and risk management is beneficial to keep the patient's mouthclean,reduce the use of antibiotics and mechanical ventilation time,improve the satisfaction of the nurses and reducethe incidence of ventilator-associated pneumonia.
作者
曾小英
ZENG Xiaoying(Department of Critical Care Medicine,Chengdu Third People's Hospital,Chengdu610000,China)
出处
《中国健康心理学杂志》
2019年第4期552-556,共5页
China Journal of Health Psychology
基金
2016年四川省医学会重症医学(宜昌人福)专项科研课题[编号:2016ZZ002(YCRF)]
关键词
风险管理
气道管理
心理干预
预防呼吸机相关性肺炎
Risk management
Airway management
Psychological intervention
Prevention of ventilator-associated pneumonia
