全程护理管理防控机械通气患者呼吸机相关性肺炎的研究

[摘要] Abstract：Objective To evaluate the effect of whole course management on prevention and control of ventilator-associated pneumonia(VAP)among patients with mechanical ventilation. Methods  From May 2014 to April 2015,1893 cases of post cardiac operative patients with mechanical ventilation were enrolled in control group., Another 2037 cases were enrolled in intervention group From May 2015 to April 2016. The intervention group was given whole course management including preoperative preparation, postoperative care and rehabilitation in ward, while the control group received routine intensive care. The incidence of VAP, length of ICU stay and intubation time were observed and compared between two groups. Results  The VAP rate of the control group was 37.83 infections per 1000 ventilator days, while the intervention group rate was 26.10 infections per 1000 ventilator days(P<0.05). The length of ICU stay and intubation time of control group was(16.70±6.45)days and(11.56±6.37)days, while these number was significantly dropped to(14.07±3.02)days and(9.84±5.25 )days in the intervention group(P<0.05). Conclusion  The whole course management can effectively prevent and control the VAP among post cardiac operative patients with mechanical ventilation.

[学科分类] 护理学

[关键词] 全程护理管理;呼吸机相关性肺炎;ICU;心脏外科手术;机械通气