不同护理干预措施对呼吸机相关性肺炎患者的护理效果
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摘要
目的了解不同护理干预措施应用呼吸机相关性肺炎(VAP患者中对病情控制的影响。方法将我院收集2017年6月—2018年2月的70例呼吸机相关性肺炎(VAP)患者作为研究对象,将其随机分为两组。常规组采用护理常规方法,整体组采用整体护理措施。比较两组患者的满意率;吸痰的间隔时间、住院时间;护理前后血清炎性因子指标、肺部功能状态;继发并发症率。结果整体组患者的满意率、血清炎性因子指标、肺部功能状态、吸痰的间隔时间、住院时间、继发并发症率方面相较常规组更好,差异均具有统计学意义(P <0.05)。结论呼吸机相关性肺炎(VAP)患者实施整体护理措施效果理想,可有效控制血清炎症水平,改善肺部功能状态,缩短住院的时间,减少并发症的发生率。
Objective To understand the effects of different nursing interventions on the control of patients with ventilator-associated pneumonia(VAP). Methods 70 patients with ventilator-associated pneumonia(VAP) from June 2017 to February 2018 were collected as the study objects. They were randomly divided into two groups. The routine nursing method was used in the routine group. The holistic group adopted holistic nursing measures. The satisfaction rate, sputum aspiration interval and hospitalization time, serum inflammatory factors, pulmonary function before and after nursing, and secondary complications were compared between the two groups. Results The satisfaction rate, serum inflammatory factors, pulmonary function, sputum aspiration interval, hospitalization time and secondary complication rate of patients in group B were better than those in group B, and the difference was statistically significant(P < 0.05).Conclusion Patients with ventilator-associated pneumonia(VAP) have good overall nursing measures, which can effectively control serum inflammation level, improve lung function, shorten hospitalization time and reduce the incidence of complications.
Objective To understand the effects of different nursing interventions on the control of patients with ventilator-associated pneumonia(VAP). Methods 70 patients with ventilator-associated pneumonia(VAP) from June 2017 to February 2018 were collected as the study objects. They were randomly divided into two groups. The routine nursing method was used in the routine group. The holistic group adopted holistic nursing measures. The satisfaction rate, sputum aspiration interval and hospitalization time, serum inflammatory factors, pulmonary function before and after nursing, and secondary complications were compared between the two groups. Results The satisfaction rate, serum inflammatory factors, pulmonary function, sputum aspiration interval, hospitalization time and secondary complication rate of patients in group B were better than those in group B, and the difference was statistically significant(P < 0.05).Conclusion Patients with ventilator-associated pneumonia(VAP) have good overall nursing measures, which can effectively control serum inflammation level, improve lung function, shorten hospitalization time and reduce the incidence of complications.
引文
[1]葛利静,何树娟,李月娟.重症监护病房不同口腔护理方法在预防呼吸机相关性肺炎中的效果观察[J].宁夏医学杂志,2018,40(7):661-663.
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[4]刘丽.综合护理干预对ICU重症患者呼吸机相关性肺炎发生情况的影响[J].齐鲁护理杂志,2015,21(9):72-74.
[5]高维杰,王汕珊,王红云,等.不同口腔护理液对呼吸机相关性肺炎预防效果的网状Meta分析[J].护理研究,2017,31(1):65-73.
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[7]李磊,林月双,梁艳,等.不同间隔时间口腔护理对呼吸机相关性肺炎发生的影响研究[J].内科,2016,11(4):646-647,539.
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[10]张东华,曹中荣,李敏,等.不同口腔护理频次及方法对控制呼吸机相关性肺炎的影响[J].护士进修杂志,2015,30(18):1652-1654.
[11]龚明娜.不同口腔护理方法预防呼吸机相关性肺炎的效果[J].大家健康(学术版),2015,9(15):246.
[12]潘光易.不同体位护理对呼吸机相关性肺炎的影响[J].中国医学创新,2015,12(9):74-77.
[2]李晓娟.不同体位护理对呼吸机相关性肺炎患者的影响研究[J].中国继续医学教育,2018,10(15):164-165.
[3]郭秀荣,赵李侠,张飞鹏,等.不同口腔护理方案对重度有机磷农药中毒呼吸机相关性肺炎的研究[J].检验医学与临床,2017,14(14):2136-2138.
[4]刘丽.综合护理干预对ICU重症患者呼吸机相关性肺炎发生情况的影响[J].齐鲁护理杂志,2015,21(9):72-74.
[5]高维杰,王汕珊,王红云,等.不同口腔护理液对呼吸机相关性肺炎预防效果的网状Meta分析[J].护理研究,2017,31(1):65-73.
[6]殷汉荣.不同口腔护理方法预防呼吸机相关性肺炎及口腔感染的效果[J].包头医学院学报,2016,32(12):129-130.
[7]李磊,林月双,梁艳,等.不同间隔时间口腔护理对呼吸机相关性肺炎发生的影响研究[J].内科,2016,11(4):646-647,539.
[8]黄贱美,赖秀琼.不同口腔护理方法对预防呼吸机相关性肺炎比较[J].牡丹江医学院学报,2016,37(4):132-133.
[9]任蕾娜,姜云霞.不同口腔护理方法预防呼吸机相关性肺炎现状与进展[J].当代护士(下旬刊),2016(3):7-8.
[10]张东华,曹中荣,李敏,等.不同口腔护理频次及方法对控制呼吸机相关性肺炎的影响[J].护士进修杂志,2015,30(18):1652-1654.
[11]龚明娜.不同口腔护理方法预防呼吸机相关性肺炎的效果[J].大家健康(学术版),2015,9(15):246.
[12]潘光易.不同体位护理对呼吸机相关性肺炎的影响[J].中国医学创新,2015,12(9):74-77.