| 杨帆 张斌 魏花萍 张志刚.建立ICU呼吸专科护理小组在机械通气病人中的作用[J].,2014,14(11):2159-2161 |
| 建立ICU呼吸专科护理小组在机械通气病人中的作用 |
| The Role of the ICU Ventilator Specialist Care Team in MechanicallyVentilated Patients |
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| DOI： |
| 中文关键词: 呼吸机相关性肺炎 专科护理 培训 |
| 英文关键词: Ventilator-associated pneumonia Specialist care Training |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨建立ICU 呼吸专科护理小组在机械通气病人中的作用。方法：评估建立ICU呼吸专科护理小组前后实施呼吸机
集束策略依从性的情况及对呼吸机相关性肺炎（VAP）发生率的影响。结果：建立ICU呼吸专科护理小组前后分别纳入458、487
个病人，手卫生依从性由20.9 %提高到65.7 %（P=0.001）；床头抬高30 ° 以上依从性由24.8 %提高到49.5 %（P=0.001）；镇静评
分依从性无明显改善（P=0.06）；使用无创呼吸机依从性由20.4 %提高到32 %（P=0.03）。同时ICU 呼吸专科护理小组建立后可降
低VAP发生率（24.4%vs 41.7 %，P=0.004），降低VAP 病人的机械通气时间和ICU 住院时间，但并不能降低其死亡率。结论：建
立ICU呼吸专科护理小组可提高呼吸机集束策略的依从性，可以降低VAP 发生率。 |
| 英文摘要: |
| Objective: To establish the role of the ICU ventilator specialist care teamin mechanically ventilated patients.Methods: to evaluate the implementation of Ventilator dependence of the cluster strategy and the impact on the incidence of ventilator-associated
pneumonia (VAP) before and after the establishment of the ICU ventilator specialist care team.Results:Before and after establishment of
ICU ventilator specialist care team, there were respectively 458 and 487 patients included. Hand hygiene compliance increased from
20.9% to 65.7% (P = 0.001); compliance of bed head elevation more than 30° from 24.8% to 49.5% (P = 0.001); compliance of
sedation score was not improved significantly (P = 0.06); Use of non-invasive ventilator compliance increased from20.4%to 32% (P =
0.03). Building of ICU ventilator specialist care team can reduce the incidence of VAP (24.4%vs 41.7%, P = 0.004), reduce the duration
of mechanical ventilation and ICU stay of VAP patients, but it does not reduce its mortality. Conclusion:ICU respiratory specialist care
teamcan improve ventilator compliance of the cluster strategy and reduce the incidence of VAP. |
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