实施集束化护理干预对ICU呼吸机相关性肺炎患者治疗效果的影响

目的：探讨实施集束化护理干预对ICU呼吸机相关性肺炎患者治疗效果的影响。方法选取2012年1月~2014年1月我院ICU收治的呼吸机相关性肺炎患者100例，根据护理方法不同随机分为研究组和对照组两组，对照组实施常规护理，研究组实施集束化护理干预，比较两组患者的祛痰效果、两组机械通气时间及入住ICU时间。结果研究组的祛痰效果明显优于对照组，研究组的祛痰总有效率达94%，与对照组的总有效率比较，差异有统计学意义（P〈0.05）。研究组患者机械通气时间明显短于对照组（P〈0.05）。研究组患者平均入住ICU时间明显短于对照组（P〈0.05）。结论实施集束化护理干预有利于提高ICU呼吸机相关性肺炎患者的祛痰效果，缩短住院时间，值得推广和应用。

Impact of cluster nursing intervention on ICU patients with ventilator-associated pneumonia

Objective To investigate the impact of cluster nursing intervention on the patients with ventilator-associat-ed pneumonia in ICU. Methods From January 2012 to January 2014,selected 100 cases associated ventilator pneumo-nia patients in our hospital ICU,according to the different caring methods were randomly divided into study group and control group,the control group received usual care,the study group focused cluster of nursing intervention,the expec-torant effect were compared between two groups,the mechanical ventilation and ICU stay were compared. Results The expectorant effect of study group was better than the control, expectorant total effective rate of the study group was 94%,compared with the control group, the difference was statistically significant （P〈0.05）. Duration of mechanical ventilation of patients in study group was significantly shorter than the control group（P〈0.05）. The average ICU stay of study group was significantly shorter than the control group between than the two groups,the difference was statistical-ly significant （P〈0.05）. Conclusion The implementation of the cluster of nursing interventions help to improve patient outcomes ICU ventilator-associated pneumonia,shorter hospital stay,worthy of promotion and application.