重症监护病房护理风险管理对急性呼吸窘迫综合征患者呼吸机相关肺炎的影响
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摘要
目的观察并探讨重症监护病房护理风险管理对急性呼吸窘迫综合征患者呼吸机相关肺炎的影响。方法选取126例2016年12月至2018年12月我院重症监护病房机械通气患者,按患者就诊顺序分为对照组与实验组,人数相同各63例,实验组与对照组分别给予ICU护理风险管理及常规护理方法,对比两组护理风险事件发生情况、呼吸机相关性肺炎发生情况、护理投诉情况以及护理满意度。结果实验组护理风险事件发生率、呼吸机相关性肺炎发生率、护理投诉率与对照组结果比较均显著较低,实验组患者及家属护理满意度高达96.82%,与对照组63.49%比较显著较高,差异具有统计学意义,P<0.05。结论在急性呼吸窘迫综合征患者临床治疗中应用护理风险管理具有确切效果,值得推广应用。
Objective To observe and discuss the effect of nursing risk management in intensive care unit on ventilator-associated pneumonia in patients with acute respiratory distress syndrome. Methods Select 126 cases in December 2016 to December 2018,our hospital during the period of intensive care unit patients with mechanical ventilation, in order to the patient were divided into control group and experimental group, the same number of all the 63 cases, the experimental group and control group were given the ICU nursing risk management and routine nursing methods, compared two groups of nursing risk events happening, ventilator associated pneumonia occurrence, nursing complaints and nursing satisfaction. Results The incidence of nursing risk events, incidence of ventilator-related pneumonia and nursing complaint rate in the experimental group were significantly lower than those in the control group. The nursing satisfaction of the patients and their families in the experimental group was as high as 96.82%, which was significantly higher than those in the control group(63.49%). The difference was statistically significant(P<0.05). Conclusion The application of nursing risk management in the clinical treatment of patients with acute respiratory distress syndrome is effective and worthy of promotion.
Objective To observe and discuss the effect of nursing risk management in intensive care unit on ventilator-associated pneumonia in patients with acute respiratory distress syndrome. Methods Select 126 cases in December 2016 to December 2018,our hospital during the period of intensive care unit patients with mechanical ventilation, in order to the patient were divided into control group and experimental group, the same number of all the 63 cases, the experimental group and control group were given the ICU nursing risk management and routine nursing methods, compared two groups of nursing risk events happening, ventilator associated pneumonia occurrence, nursing complaints and nursing satisfaction. Results The incidence of nursing risk events, incidence of ventilator-related pneumonia and nursing complaint rate in the experimental group were significantly lower than those in the control group. The nursing satisfaction of the patients and their families in the experimental group was as high as 96.82%, which was significantly higher than those in the control group(63.49%). The difference was statistically significant(P<0.05). Conclusion The application of nursing risk management in the clinical treatment of patients with acute respiratory distress syndrome is effective and worthy of promotion.
引文
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[7]朱明丽,夏柳勤,章敏飞,等.血管外肺水指数与肺动脉嵌顿压在急性呼吸窘迫综合征患者液体管理中的应用及护理[J].浙江医学,2013,35(8):720-723.
[8]危志娟.急性肺损伤/急性呼吸窘迫综合征病人机械通气时液体管理的现状与护理进展[J].全科护理,2012,10(21):1995-1997.
[2]马骁啸.护理风险管理对重症监护病房急性呼吸窘迫综合征患者护理质量的影响[J].实用医技杂志,2018,25(10):1193-1194.
[3]张娜,黄朗斯.探讨分析ICU护理风险干预应用于急性呼吸窘迫综合征(ARDS)患者中的实施效果[J].实用临床护理学电子杂志,2017,2(50):63,79.
[4]林汉慧.ICU护理风险管理在预防急性呼吸窘迫综合征患者呼吸机获得性肺炎中的应用效果[J].中国全科医学,2017,20(S2):276-277.
[5]余燕梅,刘利华,蒋玉芳,等.ICU护理风险管理对急性呼吸窘迫综合征患者呼吸机相关性肺炎的影响研究[J].中华医院感染学杂志,2016,26(3):695-697.
[6]王美兰,王小燕,徐静,等.中重度急性呼吸窘迫综合征病人实施俯卧位通气的疗效观察与风险管理[J].护理研究,2015,29(28):3566-3568.
[7]朱明丽,夏柳勤,章敏飞,等.血管外肺水指数与肺动脉嵌顿压在急性呼吸窘迫综合征患者液体管理中的应用及护理[J].浙江医学,2013,35(8):720-723.
[8]危志娟.急性肺损伤/急性呼吸窘迫综合征病人机械通气时液体管理的现状与护理进展[J].全科护理,2012,10(21):1995-1997.