Analysis of causes and nursing measures of ventilator-associated pneumonia in intensive care unit ofrespiratory Department
呼吸机相关性肺炎在呼吸科重症监护病房患者出现原因和护理措施分析

摘要

目的 分析呼吸机相关性肺炎在呼吸科重症监护病房患者出现的原因和护理措施。方法 选取 2021 年 5 月-2022 年 5 月在我院呼吸内科重症监护病房使用呼吸机治疗的患者 100 例作为本次的研究对象， 随机分成对照组和观察组，每组 50 例。对照组进行常规护理干预模式，观察组根据呼吸机相关性肺炎（VAP） 的诊断标准，分析呼吸机相关性肺炎发生的原因，并进行相关的预见性护理干预模式。对比两组患者呼吸 机相关性肺炎的发病率。结果 通过预见性护理干预模式，观察组呼吸机相关性肺炎发病率 6.0%，明显低于 对照组呼吸机相关性肺炎发生率 28%，差异具有统计学意义（P＜0.05）。结论 对于呼吸科重症监护病房中 使用呼吸机治疗的患者，通过预见性护理干预的方法能够阻断呼吸机相关性肺炎的传播途径，防止交叉感 染，降低呼吸机相关性肺炎的发病率。

Abstract

Objective To analyze the causes and nursing measures of ventilators associated pneumonia in intensive care unit of respiratory department.
Methods A total of 100 patients receiving ventilator treatment in intensive care unit of respiratory Department of our hospital from May 2021 to May 2022 were selected as the study objects and randomly divided into control group and observation group, with 50 cases in each group. The control group received routine nursing intervention mode, the observation group according to the diagnostic criteria of ventilator-associated pneumonia (VAP), analyzed the causes of ventilator-associated pneumonia, and the related predictive nursing intervention mode. The incidence of ventilator-associated pneumonia was compared between the two groups.
Results Through the predictive nursing intervention mode, the incidence of ventilator-associated pneumonia in the observation group was 6.0%, significantly lower than that in the control group 28%, the difference was statistically significant (P<0.05).
Conclusion   For the patients treated with ventilator in the intensive care unit of respiratory department, the method of predictive nursing intervention can block the transmission route of ventilator associated pneumonia, prevent cross infection, and reduce the incidence of ventilator associated pneumonia.