Application of cluster nursing in the prevention of pulmonary infection in patients with tracheotomy in ICU
集束化护理在预防ICU气管切开患者肺部感染中的应用

摘要

目的 探讨集束化护理在预防重症监护室（ICU）气管切开患者肺部感染中的应用效果。方法 随机选取我院ICU接受气管切开治疗的100例患者作为研究对象。采用随机数字表法将患者分为两组，每组各50例，分别设为观察组和对照组。对照组接受常规护理，而观察组则接受集束化护理。比较分析两组患者的护理效果。结果 观察组的护理管理质量和患者的遵医行为均显著优于对照组，且肺部感染发生率低于对照组，ICU住院时间和机械通气时间也均短于对照组，最终获得的护理满意度高于对照组，（P<0.05）。结论 集束化护理在ICU气管切开患者管理中的应用，有效提升了临床护理质量，提高了患者的身心舒适度和配合度，降低了肺部感染的发生率，并促进了患者的康复进程。

Abstract

Objective To investigate the effect of cluster nursing in the prevention of pulmonary infection in patients with tracheotomy in intensive care unit (ICU).
Methods 100 patients who received tracheotomy in ICU of our hospital were randomly selected as the study objects. The patients were divided into two groups by random number table method, 50 cases in each group, which were set as observation group and control group respectively. The control group received routine care, while the observation group received cluster care. The nursing effects of the two groups were compared and analyzed.
Results The quality of nursing management and compliance behavior of patients in the observation group were significantly better than those in the control group, and the incidence of pulmonary infection was lower than that in the control group, the length of ICU stay and mechanical ventilation time were also shorter than that in the control group, and the final nursing satisfaction was higher than that in the control group (P<0.05).
Conclusion   The application of cluster nursing in the management of tracheotomy patients in ICU can effectively improve the quality of clinical nursing, improve the physical and mental comfort and cooperation of patients, reduce the incidence of pulmonary infection, and promote the rehabilitation process of patients.