本文選題：干預對策 + 呼吸機相關性肺炎�。� 參考：《中華醫(yī)院感染學雜志》2014年02期

【摘要】：目的通過采取有效的干預措施,降低ICU機械通氣患者呼吸機相關性肺炎(VAP)發(fā)生率。方法從2011年開始對入住ICU使用呼吸機48h患者采取目標性監(jiān)測,1-6月份采用常規(guī)護理措施,不進行實地干預,7-12月份通過對VAP高發(fā)原因分析后采用跟班督導的方式,按照制定的VAP預防控制措施進行干預。結(jié)果采用跟班督導等一系列有效的護理干預措施后,ICU機械通氣患者在機械通氣例數(shù)增加的情況下,VAP千日感染率從干預前的61.7‰下降至干預后的38.6‰,干預前后感染率比較,差異有統(tǒng)計學意義(P0.01)。結(jié)論 ICU機械通氣患者通過加強對醫(yī)務人員預防控制知識的教育培訓、抬高病床頭、聲門下分泌物吸引、加強醫(yī)務人員手衛(wèi)生以及設備的管理,能有效降低VAP感染率,保證患者安全。
[Abstract]:Objective to reduce the incidence of ventilator-associated pneumonia (VAP) in ICU patients by effective intervention. Methods from 2011, the patients who were admitted to ICU for 48 hours were monitored with routine nursing measures from January to June. The routine nursing measures were adopted in July and December without field intervention. After the analysis of the causes of high incidence of VAP in July and December, the way of following shift supervision was adopted. To intervene in accordance with the established VAP preventive and control measures. Results the infection rate of VAP in ICU patients with mechanical ventilation increased from 61.7 鈥，

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