Effect of targeted airway care on comfort and ventilator-associated pneumonia in patients in the intensive care unit
针对性气道护理对重症监护室患者舒适度与呼吸机相关性肺炎的影响

摘要

目的 分析讨论针对性气道护理对重症监护室患者舒适度与呼吸机相关性肺炎的影响效果。方法 选择我院2023-2024所接收的138例重症监护室患者为研究对象，平均分为观察组（针对性气道护理）与对照组（常规护理），将两组护理后的肺部功能指标和炎症因子以及机械通气治疗时间、呼吸机相关性肺炎发生情况、患者满意度进行比较。结果 观察组患者血气与肺部功能各项指标（8.13±1.24、10.22±1.56、74.04±3.56、76.55±7.14）比对照组高（P<0.05）；观察组血清炎症因子水平（3.12±0.98、5.68±1.79、18.42±4.15）比对照组低（P<0.05）；观察组机械通气治疗时间（6.78±1.03d）短于对照组，呼吸机相关性肺炎发生情况（1.45%）低于对照组（P<0.05）；观察组满意情况（95.65%）比对照组高（P<0.05）。结论 针对性气道护理对重症监护室患者提高舒适度与降低呼吸机相关性肺炎风险效果明显，值得广泛推广与应用。

Abstract

Objective To analyze and discuss the effect of targeted airway care on comfort and ventilator-associated pneumonia in patients in the intensive care unit.
Methods A total of 138 patients admitted to the intensive care unit in our hospital from 2023 to 2024 were selected as the research subjects and divided into an observation group (targeted airway care) and a control group (conventional care) on average. The lung function indicators and inflammatory factors after care, as well as mechanical ventilation treatment time, ventilator-associated pneumonia, and patient satisfaction were compared between the two groups.
Results The blood gas and lung function indicators of the observation group (8.13±1.24, 10.22±1.56, 74.04±3.56, 76.55±7.14) were higher than those of the control group (P<0.05); the serum inflammatory factor levels of the observation group (3.12±0.98, 5.68±1.79, 18.42±4.15) were lower than those of the control group (P<0.05); the mechanical ventilation treatment time (6.78±1.03d) of the observation group was shorter than that of the control group, and the incidence of ventilator-associated pneumonia (1.45%) was lower than that of the control group (P<0.05); the satisfaction of the observation group (95.65%) was higher than that of the control group (P<0.05).
Conclusion   Targeted airway care has a significant effect on improving the comfort of patients in the intensive care unit and reducing the risk of ventilator-associated pneumonia, which is worthy of wide promotion and application.