【摘要】：目的通過(guò)設(shè)計(jì)《ICU呼吸機(jī)相關(guān)性肺炎預(yù)防控制質(zhì)量核查單》(簡(jiǎn)稱核查單),指導(dǎo)護(hù)理人員在臨床工作中進(jìn)行質(zhì)量核查,以降低呼吸機(jī)相關(guān)性肺炎的發(fā)生率,促進(jìn)呼吸機(jī)相關(guān)性肺炎預(yù)防的質(zhì)量改進(jìn)。方法采用類實(shí)驗(yàn)性研究方法,2015年5—7月,將核查單應(yīng)用于ICU的機(jī)械通氣患者,對(duì)呼吸機(jī)相關(guān)性肺炎預(yù)防控制措施進(jìn)行每日核查;將使用核查單的2015年5—7月患者作為干預(yù)組,未使用核查單的2015年1—3月患者作為對(duì)照組,比較兩組呼吸機(jī)相關(guān)性肺炎預(yù)防控制措施的總執(zhí)行率、單項(xiàng)執(zhí)行率和呼吸機(jī)相關(guān)性肺炎的發(fā)生率。結(jié)果使用核查單干預(yù)后,呼吸機(jī)相關(guān)性肺炎預(yù)防控制措施的總執(zhí)行率提高(31.8%vs 54.5%),呼吸機(jī)相關(guān)性肺炎發(fā)生率明顯下降(34.2‰ vs 14.6‰)。預(yù)防控制措施中"手衛(wèi)生"、"抬高床頭30°~45°"、"口腔護(hù)理"、"鎮(zhèn)靜休假"、"深靜脈血栓預(yù)防"、"人工氣道管理"的單項(xiàng)執(zhí)行率均提高,使用前后上述各指標(biāo)的差異有統(tǒng)計(jì)學(xué)意義(P0.05),"消化道潰瘍預(yù)防"的單項(xiàng)執(zhí)行率未提高。結(jié)論應(yīng)用《ICU呼吸機(jī)相關(guān)性肺炎預(yù)防控制質(zhì)量核查單》有助于提高多項(xiàng)呼吸機(jī)相關(guān)性肺炎預(yù)防控制措施的執(zhí)行率,降低呼吸機(jī)相關(guān)性肺炎的發(fā)生率。
[Abstract]:Objective to design a quality check list for prevention and control of ICU ventilator-associated pneumonia (abbreviated as "check list") to guide nursing staff to carry out quality verification in clinical work in order to reduce the incidence of ventilator-associated pneumonia. To improve the quality of ventilator-associated pneumonia prevention. Methods in May to July 2015, a similar experimental study was used to examine the preventive and control measures of ventilator-associated pneumonia (VAP) in patients with mechanical ventilation (ICU). Patients from May to July 2015 who used the checklist as intervention group, and patients from January to March 2015 who did not use the checklist were used as control group. The total implementation rate of preventive and control measures for ventilator-associated pneumonia was compared between the two groups. Single execution rate and incidence of ventilator-associated pneumonia. Results the overall implementation rate of ventilator associated pneumonia prevention and control measures was increased (31.8%vs 54.5%) and the incidence of ventilator-associated pneumonia was significantly decreased (34.2 鈥，

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