Effect of supervised early warning nursing based on failure mode and effect analysis mode on prevention of ventilator associated pneumonia in adult patients with postoperative ventilation after cardiac surgery
Objective To explore preventive effect of supervised early warning nursing based on failure mode and effect analysis(FMEA)mode on the occurrence of ventilator associated pneumonia(VAP)in adult patients with postoperative ventilation after cardiac surgery.Methods A total of 84 adult patients receiving ventilation therapy after cardiac surgery in the Second Department of Intensive Care Unit of the First Affiliated Hospital of Xinjiang Medical University from November 2020 to November 2022 were selected as the study objects.According to random number table method,the patients were divided into control group and observation group,with 47 cases in each group.The control group was treated with routine nursing method,and the observation group was treated with supervised early warning nursing intervention based on FMEA mode.Both groups were treated for 15 days.The occurrence of VAP,the time of mechanical ventilation treatment,the time of hospitalization,and the changes of blood gas analysis indexes before and after nursing were compared between the two groups.Results The incidence of VAP in observation group was lower than that in control group(P＜0.05).The duration of hospitalization and mechanical ventilation in observation group were shorter than those in control group(P＜0.05).After nursing,the level of arterial blood oxygen partial pressure in both groups was higher than that before treatment,and the observation group was higher than the control group(P＜0.05).After nursing,the level of arterial blood carbon dioxide partial pressure in both groups was lower than that before treatment,and the observation group was lower than the control group(P＜0.05).Conclusion Application of supervised early warning nursing based on FMEA mode can effectively prevent occurrence of VAP in adult patients with postoperative ventilation after cardiac surgery,shorten treatment time of mechanical ventilation and hospitalization time,and improve arterial blood gas.
Cardiac surgerySupervised early warning nursingFailure mode and effect analysis modeVentilator associated pneumonia
万方数据
维普
