Effects of evidence-based nursing intervention on ventilator associated pneumonia in severe stroke patients
循证护理干预对重症脑卒中呼吸机相关性肺炎的影响

摘要

目的 探究重症脑卒中并发呼吸机相关肺炎患者予以循证护理干预的临床价值。方法 选取时间为2018年1月-2021年3月期间，选取患者均为在我院收治的重症脑卒中合并呼吸机相关肺炎患者，共计选取30例患者，依据入院先后的顺序将患者分为实验组和对照组，实验组患者实行全面循证护理干预措施，对照组则采取常规循证护理干预，比较两组患者的护理效果、并发症发生率以及临床情况（使用呼吸机时间、住院周期）。结果 实验组病患的护理效果显著高于对照组，对照组的临床评分状况明显差于实验组的评分，实验组并发症发生率远远发生率，两组存在差异有统计学意义(P<0.05)。研究组对本次护理的满意率更高（P＜0.05）。结论 通过应用全面的循证护理干预重症脑卒中并发呼吸机相关性肺炎的病患，其护理效果显著，可以有效缩短住院时间和呼吸机的使用时间，降低并发症的发生率，以确保病患存活率更高，明显提升病患的生活质量。

Abstract

Objective To explore the clinical value of evidence-based nursing intervention in patients with severe stroke complicated with ventilator associated pneumonia.
Methods: Selection for January 2018 - March 2021, selected are all in our hospital patients with severe cerebral apoplexy combined entilator-associated pneumonia patients, selected a total of 30 patients, according to the order of the hospital has divided the patients into the experimental group and control group, experimental group patients in evidence-based nursing intervention measures, comprehensive control group take regular evidence-based nursing intervention, The nursing effect, complication rate and clinical situation (ventilator use time, hospitalization period) were compared between the two groups.
Results: The nursing effect of patients in the experimental group was significantly higher than the control group, the clinical score of the control group was significantly worse than the score of the experimental group, the incidence of complications in the experimental group was far higher, the difference between the two groups was statistically significant (P<0.05). The satisfaction rate of the study group was higher (P < 0.05).
Conclusion  : Through the application of comprehensive evidence-based nursing intervention in severe stroke patients with ventilator-associated pneumonia, the nursing effect is significant, can effectively shorten the hospitalization time and ventilator use time, reduce the incidence of complications, to ensure a higher survival rate, significantly improve the quality of life of patients.