集束化护理干预措施预防新生儿呼吸机相关肺炎的效果
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宗小敏

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R181.3+2

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Effect of care bundle on preventing neonatal ventilatorassociated pneumonia
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    摘要:

    目的探讨集束化护理干预措施对预防新生儿呼吸机相关性肺炎(VAP)的效果。方法选择符合标准的新生儿80例,随机分为试验组和对照组,两组新生儿均给予常规护理,试验组在此基础上实施VAP防控集束化护理措施。比较两组新生儿VAP发病率、平均住新生儿重症监护病房(NICU)时间、平均住院费用等。结果共监测80例新生儿,试验组与对照组各40例。新生儿VAP发病率试验组为21.21‰,对照组为35.04‰;新生儿平均住NICU时间试验组(17.84±4.03)d,对照组(23.50±4.81)d;新生儿平均住院费用试验组(26 200.71±389.45)元,对照组(38 506.36±582.13)元;试验组新生儿VAP发病率、平均住NICU时间、平均住院费用与对照组比较,差异均有统计学意义(均P<0.05)。结论集束化护理干预措施能有效预防VAP的发生,减少新生儿住NICU时间,降低住院费用,提高护理质量和满意度。

    Abstract:

    ObjectiveTo evaluate effect of care bundle on preventing neonatal ventilatorassociated pneumonia(VAP).MethodsEighty neonates who met the inclusion criteria were selected and randomly divided into trial group and control group, two groups of neonates were both given routine nursing care, trial group were implemented care bundle to prevent VAP on the basis of routine nursing care. Incidence of VAP, average length of neonatal intensive care unit (NICU) stay, and average hospitalization expense were compared between two groups of neonates.ResultsA total of 80 neonates were monitored, trial group and control group were both 40 cases. Incidence of VAP in trial group and control group were 21.21‰ and 35.04‰ respectively(P<0.05); average length of NICU stay in trial group and control group were (17.84±4.03) d and (23.50±4.81) d respectively(P<0.05); average hospitalization expense in trial group and control group were(26 200.71±389.45)yuan and (38 506.36±582.13)yuan respectively(P<0.05).ConclusionCare bundle can effectively prevent the occurrence of VAP, reduce the length of NICU stay, decrease hospitalization expense, and improve nursing quality and satisfaction.

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宗小敏,王模奎.集束化护理干预措施预防新生儿呼吸机相关肺炎的效果[J]. 中国感染控制杂志,2016,15(4):266-268. DOI:10.3969/j. issn.1671-9638.2016.04.012.
ZONG Xiaomin, WANG Muokui. Effect of care bundle on preventing neonatal ventilatorassociated pneumonia[J]. Chin J Infect Control, 2016,15(4):266-268. DOI:10.3969/j. issn.1671-9638.2016.04.012.

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  • 收稿日期:2015-07-10
  • 最后修改日期:2015-09-23
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  • 在线发布日期: 2016-04-30
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