优质护理模式对新生儿呼吸机相关性肺炎的效果影响.docVIP

优质护理模式对新生儿呼吸机相关性肺炎的效果影响 　　[摘要] 目的 探讨应用优质护理模式对新生儿呼吸机相关性肺炎（VAP）的影响。 方法 选取2013年8月～2014年9月在我院行机械通气治疗的167例新生儿患儿进行研究，按照随机数字表法，将其分为观察组和对照组。观察组85例应用优质护理方案实施护理，对照组82例采用常规护理措施实施干预。护理结束后，对比分析两组患儿住院时间、反复行机械通气的平均次数及VAP发生率，并对基础护理的合格率与家属对护理服务的满意度进行调查记录。 结果 观察组患儿住院时间及反复行机械通气的平均次数与VAP发生率均低于对照组，且观察组新生患儿基础护理合格率及家属对护理服务的满意度均高于对照组，差异有统计学意义（P0.05）。 结论 优质护理服务可明显降低新生儿VAP的发生率，值得广泛推广应用。 　　[关键词] 新生儿；呼吸机相关性肺炎；优质护理；影响 　　[中图分类号] R711.13+5 [文献标识码] A [文章编号] 1674-4721（2016）03（a）-0188-03 　　[Abstract] Objective To explore the effect of high quality nursing model on neonatal ventilator associated pneumonia （VAP）. Methods September 2013 to August 2014 underwent mechanical ventilation in the treatment of 167 cases of neonatal research，according to the random number table method randomly divided into the observation group and the control group.Observation group of 85 cases of application of high quality nursing care program implementation of nursing，control group of 82 cases of patients with routine nursing measures to implement the intervention.After the nursing care，comparative analysis of two groups of children hospitalization time，repeated the average number of mechanical ventilation and VAP incidence probability，and on the basis of nursing qualification rate and the families of nursing service satisfaction survey records. Results In the observation group with hospitalization time and repeated mechanical ventilation times of average and VAP incidence were lower than that of control group and observation group of newborn children with basic nursing qualification rate and the family of nursing service satisfaction were higher than that of control group，the difference has statistical significance （P0.05）. Conclusion Quality nursing service can significantly reduce the incidence of neonatal VAP，it is worth popularizing widely. 　　[Key words] Newborn；Ventilator associated pneumonia；High quality nursing；Influence 　　随着医学技术的发展，机械通气在新生儿患儿中的应用也较为广泛，但其同时也有可能造成各类并发症的发生，不仅影响患儿疾病后的康复，甚至危及其生命[1]。呼吸机相关性肺炎（V