护理风险管理应用于重症监护病房对ARDS患者VAP的影响分析
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摘要
目的:探讨将护理风险管理应用于重症监护病房对ARDS患者VAP的影响分析。方法:选取2017年1月-2018年2月本院重症监护病房收治的患有呼吸机相关性肺炎患者76例作为研究对象,采用随机数表法将患者分为管理组和常规组,每组38例。常规组采用常规护理方式,管理组采用护理风险管理。对比两组患者的护理风险事件发生率和投诉率,以及患者住院期间的舒适感。结果:管理组护理风险事件发生1例(2.63%),低于常规组的8例(21.1%),管理组护理投诉0例(0.00%),低于常规组的6例(15.8%),P <0.05,差异有统计学意义。管理组在社会维度[(27.96±5.24) VS (20.11±4.16)]、环境维度[(26.15±4.18) VS (18.42±3.47)]、生理维度[(18.25±3.11) VS (13.78±2.18)]、心理维度[(37.15±5.12) VS (22.14±6.45)]得分均高于常规组,P <0.05,差异有统计学意义。结论:护理风险管理应用于重症监护病房对ARDS患者VAP,能够有效提高护理有效率,降低护理投诉率,同时提高患者的舒适感,值得临床推广应用。
Objective: To investigate clinical efficacy of nursing risk management on VAP in patients with ARDS in ICU. Methods:76 cases were divided into two groups, 38 cases in each. The control group was given conventional nursing; and the management group was given nursing risk management. Results: The incidence of nursing risk events in the management group was 2.63%(1 case), lower than 21.1%(8 cases) in the control group. The nursing complaint rate in the management group was 0.00%(0 case), lower than 15.8%(6 cases) in the control group, P<0.05. The social dimensions in the management group [(27.96±5.24) VS(20.11±4.16)], environmental dimensions [(26.15±4.18) VS(18.42±3.47)], physiological dimensions [(18.25±3.11) VS(13.78±2.18)] and psychological dimensions[(37.15±5.12) VS(22.14±6.45)] were superior to the control group, P<0.05. Conclusion: Nursing risk management on VAP in patients with ARDS in ICU shows a good effect, and is worthy of promotion.
Objective: To investigate clinical efficacy of nursing risk management on VAP in patients with ARDS in ICU. Methods:76 cases were divided into two groups, 38 cases in each. The control group was given conventional nursing; and the management group was given nursing risk management. Results: The incidence of nursing risk events in the management group was 2.63%(1 case), lower than 21.1%(8 cases) in the control group. The nursing complaint rate in the management group was 0.00%(0 case), lower than 15.8%(6 cases) in the control group, P<0.05. The social dimensions in the management group [(27.96±5.24) VS(20.11±4.16)], environmental dimensions [(26.15±4.18) VS(18.42±3.47)], physiological dimensions [(18.25±3.11) VS(13.78±2.18)] and psychological dimensions[(37.15±5.12) VS(22.14±6.45)] were superior to the control group, P<0.05. Conclusion: Nursing risk management on VAP in patients with ARDS in ICU shows a good effect, and is worthy of promotion.
引文
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[2]李丹.护理风险管理预防急性呼吸窘迫综合征呼吸机相关性肺炎的效果[J/CD].实用妇科内分泌杂志:电子版,2016,3(18):30-31.
[3]Khajavikhan J,Vasigh A,Khani A,et al.Outcome and Predicting Factor Following Severe Traumatic Brain Injury:A Retrospective Cross-Sectional Study[J].Journal of Clinical&Diagnostic Research Jcdr,2016,10(2):PC16.
[4]Dupont H,Depuydt P,Abroug F.Prone position acute respiratory distress syndrome patients:less prone to ventilator associated pneumonia?[J].Intensive Care Medicine,2016,42(5):937-939.
[5]郑飞玲,李健.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作用[J].护理实践与研究,2017,14(22):51-52.
[6]狄捷.ICU护理风险干预在急性呼吸窘迫综合征病人中的应用效果[J].全科护理,2017,15(12):1482-1484.
[7]赵琳.ICU护理风险干预在急性呼吸窘迫综合征患者中的应用效果[J].实用临床医药杂志,2016,20(18):46-48.
[8]Bos L D,Schouten L R,Schultz M J.Promising but still uncertain steps towards better prediction of functional outcome in ICU patients.[J].Journal of Thoracic Disease,2016,8(8):E838.
[9]Retamal J,S?rensen J,Lubberink M,et al.Feasibility of 68Ga-labeled Siglec-9 peptide for the imaging of acute lung inflammation:a pilot study in a porcine model of acute respiratory distress syndrome[J].Am J Nucl Med Mol Imaging,2016,6(1):18-31.
[10]Yin Y,Hountras P,Wunderink RG.The microbiome in mechanically ventilated patients[J].Current Opinion in Infectious Diseases,2017,30(2):208.
[11]Khan R,Al-Dorzi HM,Tamim HM,et al.The impact of onset time on the isolated pathogens and outcomes in ventilator associated pneumonia[J].Journal of Infection&Public Health,2016,9(2):161-171.
[12]罗蓝,杨相宜,王秀芬.护理风险干预对ICU呼吸窘迫患者呼吸机相关肺炎并发症的影响[J].中医临床研究,2017,9(33):47.