集束化护理预防急诊患者呼吸道感染临床效果分析.docVIP

集束化护理预防急诊患者呼吸道感染临床效果分析 　　[摘要] 目的 探讨预防急诊患者呼吸道感染的集束化护理方案及其临床应用效果。 方法 纳入2013年6月～2014年6月急诊及急诊ICU患者132例，按入院时间先后分为对照组64例和干预组68例，制定集束化护理干预方案。干预组在基础护理基础上给予集束化护理，对照组采用常规急危重症护理。对比两组急诊或急诊ICU患者住院期间呼吸道感染发生率、气管切开率、机械通气时间、呼吸机相关性肺炎发生率及其他并发症等。 结果 干预组呼吸道感染总发生率、上呼吸道感染发生率、下呼吸道感染发生率均显著低于对照组（P0.05）。干预组机械通气患者气管切开率、VAP发生率均显著低于对照组（P0.05），机械通气时间显著少于对照组（P0.05）。干预组误吸、肺不张、痰痂阻塞发生率显著低于对照组（P0.05）。 结论 集束化护理干预集合多种有效预防各类急诊患者呼吸道感染的护理方式，有序实施可减少自主呼吸及机械通气患者呼吸道感染及其他并发症发生率，减少机械通气时间和气管切口率。 　　[关键词] 呼吸道感染；急诊护理；集束化；机械通气 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2014）36-0066-04 　　Clinical effectiveness analysis of emergency care and prevention cluster of respiratory tract infections in patients 　　CUI Hongmei1 SHEN Guodi2 　　1.Department of Emergency， the Traditional Chinese Medicine Hospital of Huzhou City in Zhejiang Province， Huzhou 313000， China； 2.EICU， Huzhou Central Hospital in Zhejiang Province， Huzhou 313000， China 　　[Abstract] Objective To investigate the prevention of respiratory tract infections in patients with cluster of emergency nursing program and the clinical application. Methods Selected 132 cases of patients in emergency and emergency ICU from June 2013 to June 2014， according to the admission time they were divided into control group （64 cases） and intervention group（68 cases）， the development of cluster-based nursing interventions in primary care based on conventional care was given to the intervention group while the control group recieved conventional emergency critical care， the incidence of respiratory tract infections， tracheotomy rate， duration of mechanical ventilation， ventilator-associated pneumonia incidence and other complications were compared between two groups. Results The overall incidence of respiratory infections， the incidence of upper respiratory tract infection， lower respiratory incidence rate of intervention group were significantly lower than those of the control group （P 　　本研究根据循证结果，综合制定集束化护理方案，首先从人员配置进行规范，进行统一的培训保证护理实施质量。针对急诊患者多而杂、空间狭小、医疗器械多等环境的特殊性，对高危人群进行