摘要
目的探讨循证护理应用在重型颅脑损伤机械通气患者中解决呼吸机相关性肺炎（ven．tilatorssoeiatedpneumonia，VAP）的实施效果。方法以重型颅脑损伤机械通气患者100例作为研究对象，随机分为观察组和对照组各50例。观察组重点从“呼吸机管道护理、气道护理、口咽部和声门下护理、气囊套管护理、阻止气管导管上生物膜（ETT．BF）形成脱落、肠内营养护理、卧位护理、病室环境和医务人员的手消毒”等几个方面进行循证，获取最佳证据，实施循证护理；对照组实施常规护理。比较2组患者在相同时间段的VAP发生情况、脱机时间及死亡率。结果2组患者VAP的发生时间和发生率、脱机时间、死亡率等均存在差异，观察组疗效显著优于对照组。结论实施循证护理能明显缩短重型颅脑损伤机械通气患者脱机时间，使VAP的发生率和死亡率明显降低，改善预后，节约成本。
Objective To evaluate the application effect of evidence-based nursing in reducing ventilator-associated pneumonia （VAP） of patients with severe head injury. Methods 100 patients with severe head injury using mechanical ventilation were randomly divided into the control group and the ob- servation group with 50 patients in each group. The observation group explored evidence from nursing of ventilator tube, oropharyngeal and sound sects care, airway care, balloon sleeves care to prevent biofilm on the endotracheal tube（E＇lT-BF） to fall off, enteral nutrition care, decubitus care, ward environment and the hand disinfection of medical staff and was given evidence- based nursing. The control group took routine care. The incidence of VAP, off-line time and mortality rate of the two groups were compared during the same time period. Results The incidence of VAP, off-line time, mortality rate showed significant differ- enee between the two groups. The observation group showed better effect. Conclusions Implementation of evidence-based nursing can significantly reduce the off-line time of patients with severe traumatic brain injury using mechanical ventilation. It can decrease the incidence of VAP and mortality rate, improve the prognosis and reduce medical cost.
出处
《中国实用护理杂志》
北大核心
2012年第13期34-36,共3页
Chinese Journal of Practical Nursing
关键词
循证护理
重型颅脑损伤
呼吸机相关性肺炎
Evidence-based nursing
Severe brain injury
Ventilator-associated pneumonia
