摘要
目的探讨前馈风险控制护理对ICU机械通气呼吸机相关性肺炎患者的影响。方法选取2021年11月—2022年11月医院收治的80例ICU机械通气呼吸机相关性肺炎患者为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,每组40例。对照组患者接受常规护理干预,观察组患者接受前馈风险控制护理干预,比较两组患者机械通气时间、ICU入住时间,护理干预前后舒适状况量表(GCQ)评分、炎症指标、体温、白细胞计数(WBC)、中性粒细胞计数(NC)。结果护理干预后,观察组患者机械通气时间、ICU入住时间短于对照组,组间差异有统计学意义(P<0.05)。护理干预前,两组患者GCQ评分、白介素-4(IL-4)、白介素-8(IL-8)、C反应蛋白(CRP)、体温、白细胞计数(WBC)、中性粒细胞计数(NC)水平的比较,差异均无统计学意义(P>0.05);护理干预后,两组患者上述各项指标均明显改善,但其中GCQ评分观察组患者高于对照组(P<0.05);IL-4、IL-8及CRP等水平观察组患者低于对照组(P<0.05);体温、WBC及NC等水平观察组患者低于对照组(P<0.05)。结论前馈风险控制护理干预用于ICU机械通气呼吸机相关性肺炎患者,可缩短患者机械通气时间与ICU入住时间,降低炎症水平,提升患者舒适度,促使患者快速康复,改善预后。
Objective To explore the effect of feed-forward risk control nursing on patients with ventilator-associated pneumonia on mechanical ventilation in ICU.Methods 80 patients with ICU mechanical ventilation ventilator-associated pneumonia admitted to the hospital from November 2021 to November 2022 were selected as the study object,and were divided into the control group and the observation group according to the principle of comparability of basic characteristics between groups,with 40 cases in each group.The patients in the control group received conventional nursing interventions,and the patients in the observation group received feed-forward risk control nursing interventions,comparing the time of mechanical ventilation,ICU stay,comfort status scale(GCQ)scores,inflammation indexes,body temperature,white blood cell count(WBC),and neutrophil count(NC)before and after nursing interventions between the two groups.Results After nursing intervention,the mechanical ventilation time and ICU stay time of patients in the observation group were shorter than those in the control group,and the difference between the groups was statistically significant(P<0.05).Before nursing intervention,the comparison of GCQ score,interleukin-4(IL-4),interleukin-8(IL-8),C-reactive protein(CRP),body temperature,white blood cell count(WBC),neutrophil count(NC)levels of the patients in the two groups,the differences were not statistically significant(P>0.05),after the nursing intervention,the patients in the two groups showed significant improvement in the above indexes,but among them,GCQ score GCQ score was higher in the observation group than in the control group(P<0.05),the levels of IL-4,IL-8 and CRP were lower in the observation group than in the control group(P<0.05),and the levels of body temperature,WBC and NC were lower in the observation group than in the control group(P<0.05).Conclusion Feedforward risk control nursing intervention for ICU patients with ventilator-associated pneumonia on mechanical ventilation can shorten the time
作者
周伯军
郁昊达
ZHOU Bojun;YU Haoda(Wuxi People's Hospital,Wuxi,214200,China)
出处
《护理实践与研究》
2023年第21期3282-3287,共6页
Nursing Practice and Research
基金
无锡市卫健委面上项目(编号:M202124)。
