摘要
目的:探讨循证护理在序贯性机械通气预防呼吸机相关性肺炎中的应用。方法:确定38例序贯性机械通气治疗患者需要解决的问题,针对问题通过查阅相关文献和资料寻找直接和间接的实证,并对真实性、可靠性、临床价值等进行分析,归纳选择最佳护理证据,制定出最佳护理方案并实施。结果:循证护理组38例患者有创通气时间、总机械通气时间较对照组明显缩短,无1例患者再插管,发生呼吸机相关性肺炎2例;对照组36例患者再次插管4例,发生呼吸机相关性肺炎10例,两组比较差异具有高度统计学意义(P<0.01)。结论:运用循证护理理论指导临床护理可提高护理质量,降低呼吸机相关性肺炎发生率。
[Objective]To investigate the application of evidence - based nursing(EBN) in sequential mechanical ventilation to prevent ventilator - associated pneumonia(VAP).[Method]Choose 38 cases of patients with sequential mechanical ventilation problems.In view of these problems,relative papers and information were reviewed aiming at finding direct and indirect evidence and analyzing its truth,reliability and clinical value etc.At last,the best evidence for nursing practice was selected and the treatment strategies were established and performed.[Result]Compared with control subjects,the 38 cases of sequential mechanical ventilation patients have shorter invasive ventilation time and total mechanical ventilation time.No patients were re - intubated and only 2 patients were acquired ventilator- associated pneumonia.While in the control group of 36,4 patients were re - intubated and 10 patients were acquired ventilator- associated pneumonia.The differences between observing and control group have statistical significance(P < 0.01).[Conclusion]Using the concept of evidence - based nursing to guide the clinic nursing care can improve the quality of nursing and reduce the occurrence rate of ventilator - associated pneumonia.
出处
《浙江医学教育》
2011年第1期34-36,39,共4页
Zhejiang Medical Education
关键词
循证护理
序贯性机械通气
呼吸机相关性肺炎
evidence-based nursing
sequential mechanical ventilation
ventilator- associated pneumonia
