Cause of ventilator-related pneumonia (VAP) and cluster care measures
呼吸机相关性肺炎（VAP）的原因及集束化护理措施

摘要

目的 分析导致患者发生呼吸机相关性肺炎的诱发因素，并探讨集束化护理措施对于患者康复情况的影响。方法 实验选取我院接受呼吸机治疗的156患者，时间为2021年1月~2022年6月，针对呼吸机相关性肺炎的产生原因进行调研，并采用集束化护理对策进行指导。结果 呼吸机相关性肺炎的患者占比44.23%，并发现侵入性操作、机械通气时间在15天以上、患者存在意识障碍、合并基础疾病以及年龄在65岁以上等因素均是导致患者患有呼吸机相关性肺炎的因素。对患者实施集束化护理有助于改善病情，与常规护理相比差异显著（p＜0.05）。结论 在接受呼吸机治疗期间可相关性肺炎，为患者实施集束化护理措施可改善临床指标，故而可推广应用。

Abstract

Objective To analyze the inducing factors of ventilator-related pneumonia, and to explore the influence of cluster nursing measures on patients' rehabilitation.
Methods The experiment, 156 patients receiving ventilator treatment in our hospital were selected from January 2021 to June 2022. We investigated the causes of ventilator-related pneumonia, and adopted cluster care measures for guidance.
Results The number of patients with ventilator-related pneumonia accounted for 44.23%, and the invasive operation, mechanical ventilation time of over 15 days, consciousness impairment, underlying disease, and age of over 65 years old were among the factors causing the patients with ventilator-related pneumonia. Cluster care for patients helped to improve the condition, varying significantly compared with usual care (p <0.05).
Conclusion   Related pneumonia during the ventilator treatment, and implementing the cluster care measures for the patients can improve the clinical index.