摘要
目的:分析专项护理干预对重症监护室机械通气相关性肺炎的应用价值。方法:选取2018年1-12月本院收治并进行机械通气的610例患者为对照组,2019年1-12月本院收治并进行机械通气的539例患者为研究组。对照组实施常规护理,研究组实施专项护理干预。比较两组呼吸机相关性肺炎发生率、死亡率、护理满意度以及入院和出院时的血清炎症因子水平(白细胞计数、C反应蛋白、降钙素原)。结果:研究组呼吸机相关性肺炎发生率、呼吸机相关性肺炎死亡率分别为2.04%、18.18%,对照组呼吸机相关性肺炎发生率、呼吸机相关性肺炎死亡率分别为7.54%、32.61%。研究组呼吸机相关性肺炎发生率、死亡率均低于对照组,差异均有统计学意义(P<0.05)。研究组住院天数、ICU天数均短于对照组,住院费用低于对照组,差异均有统计学意义(P<0.05)。入院时,两组白细胞计数、C反应蛋白以及降钙素原比较,差异均无统计学意义(P>0.05);出院时,两组白细胞计数、C反应蛋白以及降钙素原均低于入院时,且研究组均低于对照组,差异均有统计学意义(P<0.05)。研究组护理满意度为99.07%,高于对照组的94.96%,差异有统计学意义(P<0.05)。结论:专项护理干预能够有效降低重症监护室机械通气相关性肺炎发生率与死亡率,减少炎症因子水平,提高患者对护理工作的满意度,值得临床应用。
Objective:To analysis the application value of special nursing intervention on mechanical ventilation-associated pneumonia in intensive care unit.Method:A total of 610 patients admitted to our hospital and received mechanical ventilation from January to December 2018 were selected as the control group,and 539 patients admitted to our hospital and received mechanical ventilation from January to December 2019 were selected as the study group.The control group was treated with routine nursing,and the study group was treated with special nursing intervention.The incidence of ventilator-associated pneumonia,mortality,nursing satisfaction were compared between two groups,and serum inflammatory factors(white blood cell count,C-reactive protein,procalcitonin)at admission and discharge were compared between two groups.Result:The incidence and mortality of ventilator-associated pneumonia were 2.04% and 18.18% of study group,7.54% and 32.61% of control group,respectively.The incidence and mortality of ventilator-associated pneumonia of study group were lower than those of control group,the differences were statistically significant(P<0.05).The number of days in hospital,ICU days of the study group were shorter than those of the control group,hospitalization expenses of study group was lower than that of control group,the differences were statistically significant(P<0.05).At admission,there were no significant differences in WBC count,C-reactive protein and procalcitonin between two groups(P>0.05);at discharge,the WBC count,C-reactive protein and procalcitonin of both groups were lower than those at admission,and those of study group were lower than those of control group,the differences were statistically significant(P<0.05).The nursing satisfaction of study group was 99.07%,higher than 94.96% of control group,the difference was statistically significant(P<0.05).Conclusion:Special nursing intervention can effectively reduce the incidence and mortality of mechanical ventilation-associated pneumonia in intensive care unit,red
作者
胡健
HU Jian(Macheng People’s Hospital,Macheng 438300,China)
出处
《中国医学创新》
CAS
2021年第20期120-123,共4页
Medical Innovation of China
关键词
专项护理干预
重症监护室
机械通气相关性肺炎
Special nursing intervention
Intensive care unit
Mechanical ventilation-associated pneumonia
