本文選題：呼吸機(jī)相關(guān)性肺炎　切入點(diǎn)：發(fā)病率　出處：《中華醫(yī)院感染學(xué)雜志》2017年01期 　論文類型：期刊論文

【摘要】：目的通過(guò)對(duì)神經(jīng)外科監(jiān)護(hù)室(NSICU)機(jī)械通氣患者進(jìn)行呼吸機(jī)集束化策略(VCB)干預(yù),降低呼吸機(jī)相關(guān)性肺炎(VAP)的發(fā)生率。方法采取整群抽樣前后對(duì)照的研究方法,對(duì)干預(yù)前(2015年5-7月)64例和干預(yù)后(2015年9月-2016年2月)121例患者VCB的依從率及VAP發(fā)生率進(jìn)行比較,評(píng)價(jià)干預(yù)效果。結(jié)果干預(yù)組VAP發(fā)病率(5.42‰)小于對(duì)照組(26.67‰),差異有統(tǒng)計(jì)學(xué)意義(P0.05);干預(yù)前后患者呼吸機(jī)使用率分別為17.64%和16.38%,差異無(wú)統(tǒng)計(jì)學(xué)意義;VCB整體依從率從干預(yù)前的11.11%提高到干預(yù)后的76.79%,干預(yù)后VCB中各項(xiàng)措施依從率也均高于干預(yù)前,差異均有統(tǒng)計(jì)學(xué)意義(P0.01)。結(jié)論通過(guò)培訓(xùn)教育、信息反饋、晨交班提醒、定期督導(dǎo)、考核獎(jiǎng)罰等綜合措施,可提高VCB的依從性,降低VAP的發(fā)病率,但呼吸機(jī)使用率未見明顯降低。
[Abstract]:Objective to reduce the incidence of ventilator-associated pneumonia (VAP) in patients with NSICU mechanical ventilation in neurosurgical intensive care unit (NICU) by means of VCB-based intervention. Methods the study was conducted before and after cluster sampling. The compliance rate and VAP incidence of VCB in 64 patients before and after intervention (September 2015 to February 2016) were compared. Results the incidence of VAP in the intervention group (5.42 鈥，

本文編號(hào)：1650324