Management of improving the compliance of ICU nurses with ventilator cluster nursing
提高ICU护士呼吸机集束化护理依从性的管理

摘要

目的 研究提升ICU护士呼吸急速护理依从性的措施。方法 本次参与研究的护理人员共有34名，需要抽取ICU科室82例使用呼吸机的重症患者，采用分组式结果分析，按照1:1比例将该84例患者分为观察组（n=41例）与对照组（n=41例），患者抽取时间段介于2019年2月到2019年9月期间。对照组ICU科室患者在集束化护理的基础上进行常规管理，观察组ICU科室患者在集束化护理的基础上进行针对性管理，研究期间需要护理人员做好记录工作，对比两组患者呼吸机性相关肺炎发生率、护理人员依从性。结果 观察组ICU科室重症患者使用针对性管理后呼吸机相关性肺炎发生率为4.88%，对照组ICU科室重症患者运用常规管理呼吸机相关性肺炎发生率为24.39%，对照组患者肺炎发生率高于观察组，组间差异显著（P＜0.05）。此外，观察组护理人员护理依从性为94.12%，相较于对照组护理人员护理依从性58.82%高，数据对比存在差异，具有实际统计意义（P＜0.05）。结论 对ICU科室使用呼吸机的重症患者在集束化护理的基础上进行针对性管理，可以提升护理人员的护理依从性，降低患者呼吸机相关性肺炎发生率。

Abstract

Objective To study measures to improve the compliance of ICU nurses with rapid respiratory care.
Methods: A total of 34 nursing staff participated in this study. 82 patients with severe ventilator who were in ICU department were selected. Using grouped result analysis, 84 patients were divided into observation group according to 1: 1 ratio (n = 41 Example) and the control group (n = 41 cases), the patient's sampling period was between February 2019 and September 2019. Patients in the ICU department of the control group were routinely managed on the basis of bundled care. Patients in the ICU department of the observation group were managed on the basis of bundled care. During the study, nurses were required to make records and compare the respiration of the two groups. Incidence of related pneumonia and compliance of nursing staff.
Results: The incidence of ventilator-associated pneumonia in severely ill patients in the ICU department of the observation group after targeted management was 4.88%, and the incidence of ventilator-associated pneumonia in the severely ill patients of the ICU department of the control group was 24.39%, and the incidence of pneumonia in the control group was higher than the observation group, the difference between the groups was significant (P <0.05). In addition, the nursing compliance of the nursing staff in the observation group was 94.12%, which was 58.82% higher than that of the nursing staff in the control group. There was a difference in data comparison and it had practical statistical significance (P <0.05).
Conclusion  : Targeted management of critically ill patients using ventilator in ICU department on the basis of cluster nursing can improve the nursing compliance of nursing staff and reduce the incidence of ventilator-associated pneumonia in patients.