论文部分内容阅读
目的观察集束化护理干预在重型颅脑损伤患者呼吸机相关性肺炎(VAP)中的应用效果。方法选取2014年3月-2015年3月收治的重型颅脑损伤患者48例作为对照组,2015年4月-2016年4月收治的重型颅脑损伤患者52例作为观察组,对照组给予常规护理,观察组给予集束化护理干预,观察2组感染发生情况,比较2组患者机械通气时间、入住ICU时间、住院时间及VAP发生率。结果观察组感染发生率低于对照组,机械通气时间、入住ICU时间、住院时间短于对照组,VAP发生率低于对照组(P<0.05)。结论对重型颅脑损伤患者实施集束化护理干预,可有效降低感染发生率,缩短机械通气时间,有效降低VAP发生率。
Objective To observe the effect of intensive nursing intervention on ventilator-associated pneumonia (VAP) in patients with severe craniocerebral injury. Methods Forty-eight patients with severe craniocerebral injury admitted from March 2014 to March 2015 were selected as the control group. Fifty-two patients with severe craniocerebral injury admitted from April 2015 to April 2016 were selected as the observation group. The control group was given routine Nursing and observation group received intensive nursing intervention. The incidence of infection in two groups was observed. The mechanical ventilation time, ICU stay, hospitalization time and incidence of VAP in two groups were compared. Results The incidence of infection in observation group was lower than that in control group. The duration of mechanical ventilation, ICU stay and hospital stay were shorter than those in control group. The incidence of VAP was lower than that of control group (P <0.05). Conclusions The intensive care intervention for patients with severe craniocerebral injury can effectively reduce the incidence of infection, shorten the duration of mechanical ventilation and effectively reduce the incidence of VAP.