本文選題：呼吸機相關(guān)性肺炎 + 調(diào)查�。� 參考：《中華醫(yī)院感染學雜志》2017年17期

【摘要】：目的調(diào)查醫(yī)院醫(yī)護人員在呼吸機相關(guān)性肺炎(VAP)預防控制措施方面的認知度及執(zhí)行情況,查找相關(guān)培訓與預防控制措施落實的漏洞,為降低呼吸機相關(guān)性肺炎發(fā)生率提供依據(jù)。方法 2015年8月對醫(yī)院醫(yī)護人員進行VAP的預防控制措施認知度和執(zhí)行力的問卷調(diào)查,內(nèi)容包括基線資料、集束化預防控制措施的認知情況、執(zhí)行狀況以及影響預防控制措施執(zhí)行的因素,并對資料進行分析總結(jié)。結(jié)果醫(yī)師和護士對于VAP預防控制知識的總認知率分別為67.56%、68.64%,對維持氣管導管套囊壓力恒定于25~30cmH2O的認知率分別為41.46%、28.57%,對于VAP的診斷標準、每日評估撤機和拔管指征的認知率護士低于醫(yī)師(63.41%/11.69%,90.24%/53.25%),差異有統(tǒng)計學意義(P0.05);而對于患者半臥位、床頭提高和冷凝水集水杯位于管路最低處的認知率醫(yī)師低于護士(65.85%/84.42%,60.98%/83.12%),差異有統(tǒng)計學意義(P0.05);醫(yī)師與護士對預防控制措施的總執(zhí)行率分別為73.66%、73.34%。結(jié)論醫(yī)師與護士對呼吸機相關(guān)性肺炎各項預防控制措施的認知率及執(zhí)行率存在差異,應通過針對性的培訓提高預防控制措施的執(zhí)行。
[Abstract]:Objective to investigate the awareness and implementation of medical and nursing staff in the prevention and control of ventilator associated pneumonia (VAP), to find out the loopholes in the implementation of related training and prevention and control measures, and to provide a basis for reducing the incidence of ventilator related pneumonia. Methods in August 2015, the prevention and control measures of medical and nursing staff in medical hospital were recognized by VAP. Questionnaire survey of degree and execution, including baseline data, cognitive status of cluster prevention and control measures, implementation status, and factors affecting the implementation of prevention and control measures, and analysis and summary of the data. Results the total recognition rate of VAP prevention and control knowledge by physicians and nurses was 67.56%, 68.64%, to maintain tracheal catheter sleeve. The cognitive rate of the pressure constant at 25~30cmH2O was 41.46%, 28.57% respectively. For the diagnostic criteria of VAP, the cognition rate of the daily assessment of withdrawal and extubation indication was lower than that of the physician (63.41%/11.69%, 90.24%/53.25%), and the difference was statistically significant (P0.05); for the patient's semi decubitus position, the bed head improvement and the condensation water cup were located at the lowest point of the pipeline. There was a significant difference between the doctors and nurses (65.85%/84.42%, 60.98%/83.12%) (P0.05), and the total implementation rate of preventive control measures by doctors and nurses was 73.66% respectively. There was a difference in the recognition rate and implementation rate between the physicians and nurses on the prevention and control measures of ventilator-associated pneumonia. The implementation of high prevention and control measures.

【作者單位】： 華北石油管理局總醫(yī)院醫(yī)院感染管理科;
【基金】：中國石油華北油田科技基金資助項目(2016-HB-G0502)
【分類號】：R563.1

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