危重患者机械通气时护理干预的效果分析

目的：探讨对危重患者在机械通气时给予综合护理干预措施的效果及临床应用价值。方法：选择2012年7月至2013年7月在莱芜市人民医院救治的98例危重患者作为研究对象,对所有患者均进行机械通气治疗,并采用随机数字表法随机化分为观察组和对照组,每组49例。对照组采用重症监护病房常规护理;观察组在对照组基础上进行综合护理干预,观察两组护理效果。结果：观察组患者机械通气时间和住院时间短于对照组,组间数据对比其差异具有统计学意义（t=8.3678,t=5.9103;P〈0.05）。观察组患者发生非计划性拔管、呼吸机相关性肺炎以及病死率均低于对照组,组间数据对比其差异具有统计学意义（x2=5.0178,x2=10.2424,x2=5.9905;P〈0.05）。结论：对危重患者在机械通气时给予综合护理干预措施可缩短患者机械通气时间和住院时间,能够减少非计划性拔管与呼吸机相关肺炎的发生,降低病死率,值得在临床中推广使用。

Analysis on the implementation effect of nursing management intervention quality of care in critically ill patients with mechanical ventilation

Objective： To investigate the clinical application of and critically ill patients received comprehensive nursing interventions during mechanical ventilation effect value. Methods： Ninety eight patients were selected in 2012 July-2013 year in July in our hospital, were treated withmechanical ventilation, were randomly divided into observation group and control group, 49 cases in each group, the control group using ICU routine care, the observation group in the control group on the basis of comprehensive nursing intervention, observation and nursing effect of the two groups. Results： The group of patients with mechanical ventilation time, hospitalization time was shorter than the control group, comparing the data between the groups, the difference was statistically significant（t=8.3678, t=5.9103; P〈0.05）. The observation group patients with unplanned estuation, ventilator-associated pneumonia was lower than the control group, the mortality rate was lower than the control group, comparing the data between the groups, the difference was statistically significant（x2=5.0178, x2=10.2424, x2=5.9905; P〈0.05）. Conclusion： in critically ill patients were given comprehensive nursing intervention can shorten the duration of mechanical ventilation and hospitalization in patients with mechanical ventilation, to reduce the unplanned extubation and ventilator-associated pneumonia, reduce mortality, it is worth promoting in clinical use.