首页|综合护理干预用于呼吸重症监护室机械通气相关性肺炎患者的临床效果

综合护理干预用于呼吸重症监护室机械通气相关性肺炎患者的临床效果

Clinical effect of comprehensive nursing intervention in patients with ventilatorassociated pneumonia in respiratory intensive care unit

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目的 探究综合护理干预用于呼吸重症监护室机械通气相关性肺炎患者的临床效果.方法 2020年8月~2022年8月将符合入选标准的本院收治的69例ICU行机械通气治疗患者按随机数表法分成对照组与观察组,每组30例.对照组实施常规护理干预,观察组在对照组基础上加入综合护理干预.对比两组患者干预前后CPIS评分及各项临床指标的变化;观察两组患者预后情况.结果 两组患者干预后CPIS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P < 0.05);两组患者干预后各项临床指标均优于干预前,且上述指标观察组优于对照组,差异有统计学意义(P < 0.05);观察组机械通气相关性肺炎发生率低于对照组,住院情况均优于对照组,差异有统计学意义(P < 0.05).结论 对于ICU机械通气相关性肺炎患者而言,临床给予其综合护理干预能够改善患者血气分析指标,减少机械通气相关性肺炎的患病概率,利于预后.
Objective To explore the clinical effect of comprehensive nursing intervention in patients with mechanical ventilate associated pneumonia in respiratory intensive care unit. Methods From August 2020 to August 2022, 69 patients with mechanical ventilation in ICU who met the inclusion criteria were divided into control group and observation group by random number table, with 30 cases in each group. The control group received routine nursing intervention, and the observation group added comprehensive nursing intervention on the basis of the control group. The changes of CPIS score and clinical indexes before and after intervention were compared between the two groups. The prognosis of the two groups was observed. Results CPIS score in 2 groups after intervention was lower than before intervention, and observation group was lower than control group, the difference was statistically significant (P<0.05). All the clinical indexes in both groups were better after intervention than before intervention, and the observation group was better than the control group, the difference was statistically significant (P<0.05). The incidence of mechanical ventilation-associated pneumonia in the observation group was lower than that in the control group, and the hospitalization was better than that in the control group, the difference was statistically significant (P<0.05). Conclusion For ICU patients with mechanical ventilator-associated pneumonia, comprehensive nursing intervention can improve the blood gas analysis index of patients, reduce the probability of mechanical ventilator-associated pneumonia, and facilitate the prognosis.

comprehensive nursing interventionrespiratory intensive careventilator-associated pneumoniaclinical effect

王宁

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淄博市中西医结合医院重症医学科,山东 淄博 255000

综合护理干预 呼吸重症监护 机械通气相关性肺炎 临床效果

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(1)
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