护理风险预警机制对重症病房呼吸机相关性肺炎预防作用.docVIP

护理风险预警机制对重症病房呼吸机相关性肺炎预防作用 　　[摘要] 目的 分析护理风?U预警机制对重症病房（intensive care unit，ICU）呼吸机相关性肺炎的预防作用。 方法 选择我院重症病房患者84例作为分析对象，随机分成对照组和观察组，每组42例。对照组进行常规护理管理，观察组采取护理风险预警制度，比较两组患者肺炎（ventilator-associated pneumonia，VAP）发生率、护理质量、患者护理满意度、护理风险事件及护患纠纷等。 结果 观察组患者护理质量评分明显比对照组高，差异具有统计学意义（P0.05）；观察组出现的各种护理风险率较对照组低，差异具有统计学意义（P0.05）。 结论 对重症昏迷患者进行护理风险预警制能够提高患者护理质量，减少VAP（ventilator-associated pneumonia，VAP）发生率，以及护理风险，患者护理满意度很高。 　　[关键词] 护理风险预警制；重症病房；呼吸机相关性肺炎；护理质量 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2018）02-0142-03 　　[Abstract] Objective To analyze the preventive effect of nursing risk warning mechanism on ventilator-associated pneumonia in intensive care unit（ICU）. Methods 84 patients in the Department of Intensive Care Unit of our hospital were selected as study objects and randomly divided into control group and observation group， with 42 cases in each group. The control group received routine nursing management. The observation group adopted the nursing risk warning mechanism. The ventilator-associated pneumonia（VAP） incidence， quality of care， patient care satisfaction， nursing risk events， and nurse-patient disputes between the two groups were compared. Results The score of nursing quality in the observation group was significantly higher than that in the control group（P0.05）. The nursing risk rates in the observation group were lower than those in the control group， and the difference was significant（P0.05）. Conclusion The prenatal care risk warning system applied in patients with severe coma can improve the care quality of patient， reduce the incidence of VAP and the risk of nursing care， and the patient care satisfaction is high. 　　[Key words] Nursing risk warning mechanism； Intensive care unit； Ventilator-associated pneumonia； Quality of care 　　呼吸机相关性肺炎（VAP）指的是患者不是院外被感染，而是患者经过48 h的机械通气后，停止使用呼吸机，或是拔出气管48 h后，内肺出现感染情况[1]。ICU患者由于病情比较严重，所以需要使用呼吸机辅助治疗，但是患者机体免疫力差，很容易发生VAP。根据相关研究表明[2]，加强对呼吸内科患者的护理可以减少患者治疗中感染情况，并加快患者病情的康复，同时也能提高患者护理满意度。风险预警制就是在治疗和护理过程中，一切可能出现的不良事件，对其进行分析、汇总、预报，并