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目的:研讨集束化护理干预预防重症监护室(ICU)呼吸机相关性肺炎的效果。方法:2015年1月至2016年4月ICU收治呼吸机相关性肺炎患者50例,随机分为观察组和对照组各25例,对照组采用常规护理模式,观察组在常规护理的基础上实施集束化护理。比较两组护理效果。结果:观察组机械通气时间、平均住ICU时间均短于对照组,差异具有统计学意义(P<0.01);满意率情况与呼吸机相关性肺炎发生率高于对照组,差异具有统计学意义(P<0.05);护理质量优于对照组,差异具有统计学意义(P<0.01)。结论:集束化护理干预预防ICU呼吸机相关性肺炎有利于改善患者的祛痰效果,有效缩短住院时间,提高患者的满意度。
Objective: To investigate the effect of intensive nursing intervention in the prevention of ventilator-associated pneumonia in intensive care unit (ICU). Methods: From January 2015 to April 2016, 50 patients with ventilator-associated pneumonia admitted to ICU were randomly divided into observation group (25 cases) and control group (25 cases). The control group received routine nursing mode. The observation group was performed on the basis of routine nursing Cluster care. Compare the two groups of nursing effects. Results: The duration of mechanical ventilation and the average duration of ICU stay in the observation group were shorter than those in the control group (P <0.01). The satisfaction rate and the incidence of ventilator-associated pneumonia were higher in the observation group than in the control group (P <0.05). The nursing quality was better than that of the control group (P <0.01). Conclusion: The intensive nursing intervention to prevent ventilator associated pneumonia in ICU is beneficial to improve the expectorant effect, shorten the length of hospital stay and improve patient satisfaction.