综合干预措施对ICU机械通气患者床头抬高依从性的影响.docVIP

综合干预措施对ICU机械通气患者床头抬高依从性的影响 【摘要】 目的：了解综合干预对机械通气患者床头抬高依从性的影响。方法：对某三甲医院综合ICU机械通气患者床头抬高进行综合干预，分析干预前后4∶00、10：00、17∶00、23∶00床头抬高依从性的变化情况。结果：综合干预前后，机械通气患者床头抬高≥30°依从性分别为70.55%、94.54%，其中4∶00、10∶00、17∶00、23∶00 4个时间点也分别由干预前的59.73%、84.09%、67.70%、68.95%提升至91.91%、94.76%、94.82%、96.47%，差异均有统计学意义（P 0.05）。结论：通过对ICU机械通气患者床头抬高的综合干预，提高了ICU临床护士对机械通气患者床头抬高重要性的认识，进而提高了机械通气患者床头抬高的依从性。 【关键词】 综合干预； 机械通气； 床头抬高； 依从性 The Effect of Comprehensive Interventions on the Compliance of Rising the Bed Head of Patients with Mechanical Ventilation in the Intensive Care Unit/WANG Xu-yao，QUAN Ming-tao，LI Xiao-juan，et al.//Medical Innovation of China，2015，12（10）：129-132 【Abstract】 Objective：To know the effect of comprehensive interventions on the compliance of rising the bed head of patients with mechanical ventilation in the intensive care unit.Method：The comprehensive interventions in a tertiary hospital were used to improve the compliance of rising the bed head，then the differences of the compliance of rising the bed head at 4∶00，10∶00，17∶00，23∶00 before and after the intervention were analyzed.Result：The compliance of rising the bed head ≥30° before and after the comprehensive intervention were respectively 70.55%，94.54%， four time points of 4∶00，10∶00，17∶00，23∶00 after intervention respectively was 59.73%，84.09%，67.70% and 68.95%，higher than before intervention of 91.91%，94.76%，94.82% and 96.47%，the differences had statistical significance （P 0.05）.Conclusion：The comprehensive intervention of rising the bed head in the intensive care unit can improve recognition of the importance of the nurse in the intensive care unit， then improve the compliance of rising the bed head. 【Key words】 Comprehensive intervention； Mechanical ventilation； Rising the bed head； Compliance First-author’s address：Zunyi Medical University，Zunyi 563003，China doi：10.3969/j.issn.1674-4985.2015.10.042 呼吸机相关性肺炎（Ventilator associated pneumonia，VAP）是机械通气的主要并发症[1-2]。随着重症医学的飞速发展，机械通气在危重患者的应用日益普及，如何有效预防VAP成为重症领域最关注的问题之一[3]。相关研究指出：床头抬高30～45