Effect of intensive nursing intervention on the occurrence of ventilator-associated pneumonia in ICU patients
精细化护理干预对ICU患者呼吸机相关性肺炎发生情况的影响

摘要

目的 分析ICU患者呼吸机相关性肺炎患者的精细化护理方法及效果。方法 针对我院ICU患者作为观察对象，分别采取常规护理及精细化护理干预，对呼吸机相关性肺炎发生率进行统计，对患者临床治疗时间及护理满意度等进行统计分析。结果 观察组VAP发生2例，发生率为5%，对照组VAP发生8例，发生率为20%，观察组VAP发生率低于对照组，p<0.05。观察组满意度比对照组高，p<0.05。观察组患者临床治疗时间指标均比对照组短，p<0.05。护理前，组间APACHE-II及CPISI水平对比，p>0.05；护理后，观察组患者APACHE-II及CPISI水平均低于对照组，p<0.05。结论 在ICU使用呼吸机治疗期间，通过精细化护理干预，可降低相关性肺炎发生率，提升患者的抢救效果。

Abstract

Objective: To analyze the intensive nursing methods and effects of ventilator-associated pneumonia in ICU patients.
Methods: For ICU patients in our hospital as the observation object, routine nursing and intensive nursing intervention were adopted, the incidence of ventilator-associated pneumonia was statistically analyzed, and the clinical treatment time and nursing satisfaction were statistically analyzed.
Results: VAP occurred in 2 cases (5%) in the observation group and 8 cases (20%) in the control group. The incidence of VAP in the observation group was lower than that in the control group (P <0.05). The satisfaction of observation group was higher than that of control group, P <0.05. The clinical treatment time index of observation group was shorter than control group, P <0.05. Before nursing, apache-II and CPISI levels were compared between groups, P >0.05; After nursing, the levels of Apache-II and CPISI in observation group were lower than those in control group, P <0.05.
Conclusion  : During ICU ventilator treatment, intensive nursing intervention can reduce the incidence of associated pneumonia and improve the rescue effect of patients.