摘要
目的探讨ICU机械通气患者呼吸机相关性肺炎发生的危险因素。方法采用一般资料问卷、疾病相关资料调查表对2017年1月至2018年8月ICU收治的236例机械通气患者进行回顾性分析。结果呼吸机相关性肺炎发生率为33.05%,Logistic回归分析显示:年龄、基础疾病、鼻饲方式、低蛋白血症、机械通气时间、APACHE-Ⅱ评分是导致患者发生呼吸机相关性肺炎的独立危险因素(P<0.01或P<0.05)。结论机械通气患者呼吸机相关性肺炎的发生率较高,护理人员应根据其危险因素采取有效的护理措施,提高患者自身免疫力,降低机械通气患者呼吸机相关性肺炎的发生风险。
Objective To investigate the risk factors of ventilator-associated pneumonia(VAP) in patients with mechanical ventilation in ICU.Methods Using general data collection and disease-related data questionnaire to carry out a retrospective analysis of 236 patients with mechanical ventilation from January 2017 to August 2018.Results The incidence rate of VAP was 33.05%.Logistic regression analysis showed that age,basic diseases,nasal feeding mode,hypoalbuminemia,mechanical ventilation time and APACHE-Ⅱ score were independent factors of VAP(P<0.01 or P<0.05).Conclusion The incidence rate of VAP in patients with mechanical ventilation is high.Nurses should take effective measures based on their risk factors,to improve patient’s autoimmunity and reduce the incidence of VAP in patients with mechanical ventilation.
作者
安慰
曹显明
裴俊丽
王彩星
段秀卿
AN Wei;CAO Xianming;PEI Junli;WANG Caixing;DUAN Xiuqing(Nursing Faculty,Qian'nan Ethnic Medicine College,Duyun 558000,China;Respiratory Intensive Care Unit,the First Hos⁃pital Affiliated to Shanxi Medical University,Taiyuan 030001,China;Hospital Office,the Affiliated Hospital of Shanxi University of TCM,Taiyuan 030024,China)
出处
《护理管理杂志》
2019年第12期868-872,共5页
Journal of Nursing Administration
关键词
呼吸机相关性肺炎
机械通气
ICU
ventilator-associated pneumonia
mechanical ventilation
ICU
