Study on the prevention of pulmonary infection in mechanically ventilated patients in EICU
预见性护理对EICU机械通气患者肺部感染的预防效果研究

摘要

目的 分析EICU机械通气用预见性护理的价值。方法 对2023年12月-2024年3月本院EICU接诊机械通气病人（n=30）进行随机分组。试验和对照组各15人，前者采取预见性护理，后者行常规护理。对比肺部感染率等指标。结果 关于机械通气时间：试验组只有（4.18±1.05）d，但对照组却达到（6.93±1.54）d，比较发现：试验组的时间更短（P＜0.05）。肺部感染率：试验组0.0%，对照组达到20.0%，比较发现：试验组数据更低（P＜0.05）。不良事件：试验组0.0%，对照组达到20.0%，比较发现：试验组数据更低（P＜0.05）。满意度：试验组达到93.33%，但对照组仅73.33%，比较发现：试验组数据更高（P＜0.05）。sf-36评分：干预后，试验组达到（88.12±2.64）分，但对照组却仅（81.37±3.57）分，比较发现：试验组数据更优（P＜0.05）。结论 EICU机械通气用预见性护理，病人肺部感染率较低，满意度较高，不良事件较少，预后较好，机械通气时间较短。

Abstract

Objective To analyze the value of foresight care for mechanical ventilation in EICU.
Methods Mechanical ventilated patients (n=30) were treated in the EICU from December 2023 to March 2024. The trial and control group were 15 participants each, with the former receiving predictive care and the latter receiving usual care. Contrast the pulmonary infection rate and other indicators.
Results Regarding the time of mechanical ventilation: only (4.18 ± 1.05) d in the test group, but the control group reached (6.93 ± 1.54) d, found that the time in the test group was shorter (P <0.05). Lung infection rate: 0.0% in the test group and 20.0% in the control group, and the data in the test group were lower (P <0.05). Adverse events: 0.0% in the test group and 20.0% in the control group, with lower data in the test group (P <0.05). Satisfaction: 93.33% in the test group, but only 73.33% in the control group, the test group was higher (P <0.05). sf-36 score: After intervention, the experimental group reached (88.12±2.64) score, but the control group was only (81.37±3.57) score, and the experimental group data was better (P < 0.05).
Conclusion   Predictive nursing with mechanical ventilation in EICU has lower pulmonary infection rate, higher satisfaction, fewer adverse events, better prognosis and shorter mechanical ventilation time.