Research on Nursing Care of ICU Ventilator Related Pneumonia
ICU呼吸机相关肺炎护理的研究

摘要

目的 对ICU呼吸机相关肺炎出现原因及护理干预策略应用效果进行分析。方法 本次实验对象为接受机械通气的ICU患者，实验时间控制在2017年12月-2020年9月，实验人数共计88例。本次实验依据护理手段的不同将所选患者分为对照组及实验组，通过一般护理模式护理对照组患者，在充分分析呼吸机相关肺炎出现原因的基础上采取针对性护理模式护理实验组患者，分析和对比两组患者呼吸机相关肺炎出现情况、患者病死情况。结果 展开分析本次实验，实验组患者呼吸机相关肺炎出现概率下降幅度相比对照组患者较大，呼吸机相关肺炎出现概率分别为4.55%及13.64%，两组相关数据之间差异凸显，（p＜0.05）；系统分析本次实验，实验组患者病死概率下降幅度相比对照组患者较大，病死概率分别为2.27%及9.09%，两组相关数据之间差异凸显，（p＜0.05）。结论 在接受机械通气的ICU患者护理中针对性护理模式的应用效果显著优于一般护理模式。针对性护理模式在降低患者呼吸机相关肺炎出现概率及患者病死概率方面作用较为突出。

Abstract

Objective: To analyze the causes of ventilator-related pneumonia in ICU and the application effects of nursing intervention strategies.
Methods: The subjects of this experiment are ICU patients receiving mechanical ventilation. The experiment time is controlled from December 2017 to September 2020. There are 88 cases in total. In this experiment, the selected patients were divided into the control group and the experimental group according to the different nursing methods. The patients in the control group were treated through the general nursing model, and the targeted nursing model was adopted to care the experimental group patients based on the full analysis of the causes of ventilator-related pneumonia. Analyze and compare the occurrence of ventilator-related pneumonia and the death of patients in the two groups. Result: The analysis of this experiment showed that the incidence of ventilator-associated pneumonia in the experimental group decreased more than that in the control group. The incidence of ventilator-associated pneumonia was 4.55% and 13.64%, respectively. The difference between the two groups of related data is prominent. (P＜0.05); Systematic analysis of this experiment shows that the mortality rate of patients in the experimental group has a larger decline compared with the control group. The mortality rates are 2.27% and 9.09% respectively. The difference between the two groups of relevant data is prominent, (p＜0.05 ).
Conclusion  : The application effect of targeted nursing mode in the nursing of ICU patients receiving mechanical ventilation is significantly better than that of general nursing mode. The targeted care model plays a prominent role in reducing the incidence of ventilator-related pneumonia and the probability of death.