精细化护理在老年重症护理呼吸机相关性肺炎(VAP)患者中的应用对改善患者呼吸功能的价值
Refined Nursing in the Elderly Intensive Care Ventilator-Associated Pneumonia (VAP): The Value of Application in Patients to Improve the Respiratory Function of Patients

DOI: 10.12677/NS.2021.104052, PP. 324-328

Keywords: 精细化护理，老年，重症护理呼吸机相关性肺炎，呼吸功能
Fine Nursing, Old Age, Intensive Care Ventilator-Associated Pneumonia, Respiratory Function

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的：探讨精细化护理在老年重症护理呼吸机相关性肺炎(VAP)患者中的应用对改善患者呼吸功能的价值。方法：将(2018年7月~2020年8月) 110例老年重症护理呼吸机相关性肺炎(VAP)患者作为研究对象，以随机抽签方式开展分组，对照组(55例)、试验组(55例)，对照组进行常规护理，试验组进行精细化护理，对比不同组别之间的呼吸功能、VAP发生率、护理质量、护理满意率。结果：护理前两组呼吸功能指标对比无差异，P > 0.05；护理后试验组呼吸次数、氧合指数、浅快呼吸指数均高于对照组，P < 0.05。试验组VAP发生率为3.64%，对照组发生率为3.64%，试验组低于对照组，P < 0.05。试验组机械通气时间、ICU停留时间以及住院时间均低于对照组，P < 0.05。结论：老年重症护理呼吸机相关性肺炎给予精细化护理可对呼吸功能进行及时有效的恢复，保证护理质量，应用价值高。
Objective: To explore the value of fine nursing in elderly patients with ventilator-associated pneumonia (VAP) in improving their respiratory function. Methods: From July 2018 to August 2020, 110 elderly patients with ventilator-associated pneumonia (VAP) in intensive care were selected as the research objects and randomly divided into control group (55 cases) and experimental group (55 cases). The control group received routine care while the experimental group received meticulous care, and the respiratory function, VAP incidence, nursing quality and nursing among different groups were compared. Results: There was no difference in respiratory function indexes between the two groups before nursing, P > 0.05; after nursing, the respiratory frequency, oxygenation index and shallow fast respiratory index of the experimental group were higher than those of the control group (P < 0.05). The incidence of VAP in experimental group was 3.64%, while that in control group was 3.64%, which was lower than that in control group (P < 0.05). Mechanical ventilation time, ICU stay time and hospitalization time in the experimental group were lower than those in the control group (P < 0.05). Conclusion: Exquisite nursing for elderly patients with ventilator-associated pneumonia can recover respiratory function in time and effectively, and ensure nursing quality, which has high application value.

References

[1]	王炳娥. 精细化护理干预对重症监护室呼吸机相关性肺炎患者的应用[J]. 河南医学研究, 2020, 29(3): 553-554.
[2]	罗艳, 陈凤朱, 黄浩, 等. 精细化系统护理对重症医学科呼吸机相关性肺炎发生率的影响[J]. 当代护士(上旬刊), 2020, 27(4): 136-138.
[3]	余立平, 曾龙欢, 李海林, 等. 在精细护理模式中应用黄芩雾化吸入预防呼吸机相关性肺炎的疗效观察[J]. 中国中西医结合急救杂志, 2018, 25(6): 603-605.
[4]	杨利娜, 靳彩云, 任静静, 等. 精细化护理干预对ICU呼吸机相关性肺炎患者机械通气时间及患者家属护理工作满意度的影响[J]. 内蒙古医学杂志, 2019, 51(8): 1014-1015.
[5]	袁志先, 付尚雪, 袁嫱. 分析精细化护理在老年重症护理呼吸机相关性肺炎(VAP)患者中的应用效果[J]. 中国急救医学, 2018, 38(z1): 399.
[6]	张文英, 韦妮. 精细化护理在老年重症 VAP患者中的应用[J]. 齐鲁护理杂志, 2016, 22(23): 26-27.
[7]	邓秋霞, 李虹彦, 昝涛, 等. 集束化护理在危重症病人人工气道精细化管理中的应用[J]. 护理研究, 2017, 31(9): 1072-1076.
[8]	李晶, 王旭东, 张丹, 等. 重点环节精细化管理模式在危重症患者人工气道护理中的应用[J]. 国际护理学杂志, 2018, 37(16): 2242-2244, 2288.
[9]	陈莉, 赵红梅, 黄小英, 等. ICU机械通气患者呼吸机相关性肺炎危险因素与护理对策[J]. 护理实践与研究, 2020, 17(9): 28-30.
[10]	朱明丽, 杨湘英, 林瑶, 等. 循证护理在重症脑卒中患者呼吸机相关性肺炎中的应用[J]. 中华医院感染学杂志, 2020, 30(14): 2231-2235.

Full-Text