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目的:观察分析综合护理干预措施在预防重症监护室呼吸机相关性肺炎(VAP)中的应用效果。方法:选择2012年9月~2014年12月重症监护室收治的机械通气患者116例,随机分为干预组和对照组,每组58例,对照组实施常规护理措施,干预组在常规护理的基础上实施综合护理干预措施,对两组的机械通气时间、VAP发生率、因VAP死亡率以及VAP发生时间进行比较。结果:与对照组比较,干预组机械通气时间、VAP发生率、因VAP死亡率以及VAP发生时间均显著减少,差异有统计学意义(P<0.05)。结论:综合护理干预措施应用于重症监护室机械通气患者,可以取得显著的效果。
Objective: To observe the effect of comprehensive nursing intervention in the prevention of ventilator-associated pneumonia (VAP) in intensive care unit. Methods: A total of 116 patients with mechanical ventilation admitted to intensive care unit from September 2012 to December 2014 were randomly divided into intervention group (n = 58) and control group (n = 58). The control group received routine nursing interventions, while those in the routine care group Based on the implementation of comprehensive nursing interventions, the two groups of mechanical ventilation time, VAP incidence, VAP mortality and VAP time compared. Results: Compared with the control group, the time of mechanical ventilation, the incidence of VAP, the mortality of VAP and the time of occurrence of VAP in intervention group were significantly decreased (P <0.05). Conclusion: Comprehensive nursing interventions applied to ICU patients with mechanical ventilation can achieve significant results.