Preventive effect of "cluster" therapy on ventilator-associated pneumonia
“集束化”治疗措施对呼吸机相关性肺炎的预防作用

摘要

目的 呼吸机相关性肺炎(VAP)是指应用机械通气治疗48h后（或）停用机械通气拔除人工气道48h内发生肺实质的感染性肺炎，本文探析对接受机械通气辅助治疗的患者实施“集束化”治疗措施，对呼吸机相关性肺炎的预防作用。方法 此次研究的106例对象均是2022年2月-2023年2月期间接受机械通气辅助治疗的患者进行研究，对比实施不同治疗和护理措施后两组患者发生呼吸机相关性肺炎率以及治疗和护理满意度评分。结果 研究组发生呼吸机相关性肺炎率为1.89%，护理满意度评分为（92.51±1.22）分，显著优于对照组的9.43%、（84.93±2.19）分，P＜0.05说明存在对比意义。结论 在对辅助通气的患者实施“集束化”治疗措施对呼吸机相关性肺炎的预防有重要意义，不但有效提高患者对护理的满意度，同时明显减少VAP的发生率，能促使患者早日康复，说明该治疗和护理方案科学有效，应在临床中积极推广和应用。

Abstract

Objective Ventilator associated pneumonia (VAP) refers to infectious pneumonia that occurs in the lung parenchyma after 48 hours of mechanical ventilation treatment (or within 48 hours of mechanical ventilation removal). This article explores the preventive effect of implementing "cluster" treatment measures on VAP in patients receiving mechanical ventilation assisted treatment.
Methods The 106 subjects of this study were all patients who received mechanical ventilation assisted treatment from February 2022 to February 2023. The incidence of ventilator-associated pneumonia and satisfaction scores with treatment and nursing were compared between the two groups of patients after implementing different treatment and nursing measures.
Results The incidence of ventilator-associated pneumonia in the study group was 1.89%, and the nursing satisfaction score was (92.51 ± 1.22) points, which was significantly better than the 9.43% and (84.93 ± 2.19) points in the control group. P<0.05 indicates the existence of comparative significance.
Conclusion   The implementation of "clustering" treatment measures for patients with assisted ventilation is of great significance for the prevention of ventilator-associated pneumonia. It not only effectively improves patient satisfaction with nursing, but also significantly reduces the incidence of VAP, which can promote early recovery of patients. This indicates that the treatment and nursing plan is scientific and effective, and should be actively promoted and applied in clinical practice.