Study on nursing of ventilator-associated pneumonia in ICU
呼吸科ICU呼吸机相关性肺炎护理的研究

摘要

目的 探究呼吸科ICU呼吸机相关性肺炎的相关对策。方法 本次对照实验中共选取了60例ICU患者作为研究对象，均为ICU相关性肺炎风险患者，主要患有呼吸系统疾病，符合入组标准。入组后将患者随机分配了对照组和观察组，分组方法为摸球法，并使用不同的护理方法，其中对照组使用常规护理方式，观察组则使用针对性较强的综合护理干预，对比两组患者护理干预后的炎症因子指标变化情况及经济学指标。结果 观察组白细胞计数为（12.12±5.2）x109L-1，C反应蛋白（82.63±55.61）mg•L-1，降钙素原（9.85±11.26）ng•ml-1，对照组患者白细胞计数、C反应蛋白、降钙素原等炎症因子指标分别为（14.93±5.97）x109L-1、（91.75±67.85）mg•L-1（16.02±13.26）ng•ml-1，组间数据差异较大，存在统计学意义，（P＜0.05）。其次，观察组ICU住院时间（8.22±5.63）d，住院费用（5.56±3.98）万元，对照组分别为（11.53±8.26）d、（9.14±10.52）万元，观察组ICU住院时间及费用更优，（P＜0.05）。结论 在ICU相关性肺炎风险患者的护理工作中加强护理干预，能够有效防范相关性肺炎的发生。

Abstract

Objective: To explore the relevant countermeasures of ventilator-associated pneumonia in ICU of the Department of Respiratory Medicine.
Methods: In this controlled experiment, a total of 60 patients with ICU were selected as the research objects, all of whom were at risk of ICU-associated pneumonia. They mainly suffered from respiratory diseases and met the inclusion criteria. After enrolling, the patients were randomly assigned to a control group and an observation group. The grouping method was touch ball method, and different nursing methods were used. The control group used conventional nursing methods, and the observation group used strongly targeted comprehensive nursing interventions. Changes in inflammatory factor indexes and economic indicators after nursing intervention in two groups of patients.
Results: The white blood cell count in the observation group was (12.12 ± 5.2) x109L-1, C-reactive protein (82.63 ± 55.61) mg • L-1, procalcitonin (9.85 ± 11.26) ng • ml-1, and the white blood cell count in the control group , C-reactive protein, procalcitonin and other inflammatory factors were (14.93 ± 5.97) x109L-1, (91.75 ± 67.85) mg • L-1 (16.02 ± 13.26) ng • ml-1. Large, with statistical significance (P <0.05). Second, the observation group ICU hospital stay (8.22 ± 5.63) d, hospitalization cost (5.56 ± 3.98) ten thousand yuan, the control group were (11.53 ± 8.26) d, (9.14 ± 10.52) million yuan, observation group ICU hospitalization time and cost Better, (P <0.05).
Conclusion  : Strengthening nursing intervention in the nursing work of patients with ICU-associated pneumonia risk can effectively prevent the occurrence of associated pneumonia.