摘要
目的 呼吸重症监护室患者在接受呼吸机治疗期间实施集束化护理措施，进一步减少呼吸机相关性肺炎的发生率，提高患者的生存率与生存质量。方法 以2021年2月到2022年1月作为本次研究时间，选择我院呼吸重症监护室接收的60例接受呼吸机治疗患者，通过采用盲目法分为2组，对照组与观察组各30例研究对象，分别实施常规护理与集束化护理措施，比较两组患者机械通气时间、RICU住院天数以及呼吸机相关性肺炎发生率。结果 两组之间的机械通气时间、RICU住院天数相比较后有明显差异性存在，观察组所用时间更短；观察组的呼吸机相关性肺炎发生率低于对照组，两组之间相关数据比较后有明显差异存在（P＜0.05）。结论 呼吸重症监护室患者在接受呼吸机治疗期间，通过实施集束化护理措施，可以降低吸机相关性肺炎的发生率，帮助患者早日脱机，减轻患者的痛苦与负担，值得推荐。
关键词： 集束化护理；呼吸重症患者；呼吸机相关性肺炎；临床效果；护理体会
Abstract
Objective To implement cluster nursing measures for patients in respiratory intensive care unit receiving ventilator treatment to further reduce the incidence of ventilator-associated pneumonia and improve the survival rate and quality of life of patients. Methods From February 2021 to January 2022 as the study time, 60 patients who received ventilator treatment in the respiratory intensive care unit of our hospital were selected and divided into 2 groups by blind method, 30 patients in the control group and 30 in the observation group. Routine nursing and cluster nursing measures were implemented respectively, and the duration of mechanical ventilation, days of RICU stay, and the incidence of ventilator-associated pneumonia were compared between the two groups. Results There were significant differences in the duration of mechanical ventilation and the length of stay in RICU between the two groups, and the time spent in the observation group was shorter; the incidence of ventilator-associated pneumonia in the observation group was lower than that in the control group, and the relevant data between the two groups were There was a significant difference after comparison (P<0.05). Conclusion s The incidence of ventilator-associated pneumonia can be reduced by implementing cluster nursing measures for patients in respiratory intensive care unit during the treatment of ventilator, which can help patients wean off as soon as possible, and reduce the pain and burden of patients, which is worthy of recommendation.
Key words： Cluster nursing; Severe respiratory patients; Ventilator-associated pneumonia; Clinical effect; Nursing experience
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