试析综合护理干预对老年患者呼吸机相关性肺炎的作用.docVIP

精品论文 参考文献 试析综合护理干预对老年患者呼吸机相关性肺炎的作用 张琳琳 武淑萍 （中国人民解放军总医院 北京 100853） 【摘 要】目的：通过护理对比，分析综合护理干预对呼吸内科老年患者呼吸机相关性肺炎的应用效果。方法：随机选取我院2014年6月-2015年5月呼吸内科收治的老年重症肺炎患者86例作为本次研究对象，并将此86例老年患者随机分为对照组和观察组，每组各43例。对对照组老年患者给予常规性护理措施，对观察组患者在进行常规护理措施的基础上，进行综合护理干预，通过对比两组患者的呼吸机使用时间、住院时间、康复情况及死亡情况，分析综合护理干预对老年呼吸机相关性肺炎的临床应用效果。结果：通过对比分析，观察组43例老年患者的住院时间及呼吸机使用时间明显低于对照组患者，数据差异具有统计学意义（Plt;0.05）。本次研究中，对照组43例老年患者死亡例数为6例，死亡率为13.95%，观察组43例老年患者死亡例数为3例，死亡率为6.98%，观察组患者的死亡率明显低于对照组患者，结果具有统计学意义（Plt;0.05）。结论：通过综合护理干预，不仅可以有效改善老年患者的呼吸状况，降低老年呼吸机相关性肺炎的死亡率，更可以减少并发症的发生率，缩短患者的住院时间和呼吸机使用时间，具有较高的临床应用价值。 【关键词】综合护理干预；老年患者；ICU 呼吸机相关性肺炎 【中图分类号】R472 【文献标识码】A 【文章编号】1003-5028（2015）8-0546-02 【Abstract】Objective:through the nursing comparison and analysis of comprehensive nursing intervention on respiratory medicine and application effect of ventilator associated pneumonia in the elderly.Methods:randomly selected from our hospital in June 2014 in May 2015 of 86 cases of elderly patients with severe pneumonia admitted in respiratory medicine as the research object, and 86 cases of elderly patients were randomly divided into control group and observation group,43 cases in each group. Elderly patients of control group given routine nursing,the observation group of patients on the basis of conventional nursing measures, the comprehensive nursing intervention, by comparing the two groups of patients with the breathing machine use time, length of hospital stay,recovery and death situation, analysis the comprehensive nursing intervention for the elderly the clinical application effect of ventilator associated pneumonia.Results:through the comparative analysis, observation group of 43 cases of elderly patients hospitalized time and use time significantly lower than the control group patients breathing machine, data statistically significant difference (Plt;0.05).In this study, the control group, 43 cases of elderly patients with death cases,6 cases,mortality was 13.95%,the observation group, 43 cases of death cases,3