专人监督执行集束化管理方案对预防呼吸机相关肺炎的效果

发布时间：2018-12-16 18:06

【摘要】：目的探讨专人监督执行集束化管理方案预防呼吸机相关肺炎(VAP)的效果。方法选择某院重症监护病房(ICU)2013年7月—2014年6月使用机械通气的患者,其中2013年7—12月设为对照组(150例),采取集束化管理措施,无专人监管;2014年1—6月(177例)设为专人监督管理组,采取集束化管理措施,专人负责监管,比较两组患者VAP发病率、机械通气时间和ICU停留时间。结果专人监督管理组有创机械通气患者141例,有创机械通气日为1 937 d,发生VAP9例,VAP发病率为4.65‰;对照组有创机械通气患者127例,有创机械通气日为1 965 d,发生VAP21例,VAP发病率为10.69‰,两组比较,差异有统计学意义(χ~2=5.68,P=0.042)。专人监督管理组集束化管理方案总依从率、平均有创机械通气时间以及停留ICU时间分别为94.92%、(11.11±2.57)d、(15.11±2.88)d,对照组分别为48.67%、(14.67±4.35)d、(19.33±5.81)d,两组间比较,差异均有统计学意义(均P0.05)。结论专人监督执行集束化管理方案可以有效预防VAP的发生,应建立符合临床科室实际情况的集束化管理方案。
[Abstract]:Objective to investigate the effect of cluster management on the prevention of ventilator-associated pneumonia (VAP). Methods the patients with mechanical ventilation in (ICU) from July 2013 to June 2014 in an intensive care unit were selected as the control group (150 cases) from July to December 2013. From January to June 2014 (177 cases), the group was set up as the supervision and management group, which took the measures of cluster management. The incidence of VAP, the time of mechanical ventilation and the stay time of ICU were compared between the two groups. Results there were 141 patients with invasive mechanical ventilation in the supervisory management group. The incidence of VAP was 4.65 鈥，

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