某综合医院呼吸机相关性肺炎预防控制措施调查

发布时间：2018-04-20 02:22

本文选题：呼吸机相关性肺炎 + 调查　；参考：《中华医院感染学杂志》2017年17期

【摘要】：目的调查医院医护人员在呼吸机相关性肺炎(VAP)预防控制措施方面的认知度及执行情况,查找相关培训与预防控制措施落实的漏洞,为降低呼吸机相关性肺炎发生率提供依据。方法 2015年8月对医院医护人员进行VAP的预防控制措施认知度和执行力的问卷调查,内容包括基线资料、集束化预防控制措施的认知情况、执行状况以及影响预防控制措施执行的因素,并对资料进行分析总结。结果医师和护士对于VAP预防控制知识的总认知率分别为67.56%、68.64%,对维持气管导管套囊压力恒定于25~30cmH2O的认知率分别为41.46%、28.57%,对于VAP的诊断标准、每日评估撤机和拔管指征的认知率护士低于医师(63.41%/11.69%,90.24%/53.25%),差异有统计学意义(P0.05);而对于患者半卧位、床头提高和冷凝水集水杯位于管路最低处的认知率医师低于护士(65.85%/84.42%,60.98%/83.12%),差异有统计学意义(P0.05);医师与护士对预防控制措施的总执行率分别为73.66%、73.34%。结论医师与护士对呼吸机相关性肺炎各项预防控制措施的认知率及执行率存在差异,应通过针对性的培训提高预防控制措施的执行。
[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.

【作者单位】：华北石油管理局总医院医院感染管理科;
【基金】：中国石油华北油田科技基金资助项目(2016-HB-G0502)
【分类号】：R563.1

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