Li Zhen, Xu Liying, Wang Yunxia, Gao Haipeng
Department of Neurosurgery, Changyi People's Hospital Changyi 261300, Shandong Province, China.
Disinfection Supply Room, Changyi People's Hospital Changyi 261300, Shandong Province, China.
Am J Transl Res. 2021 May 15;13(5):5647-5652. eCollection 2021.
To study the application effect of comprehensive nursing combined with early activityactivity in patients with ventilator-associated pneumonia (VAP) and its influence on blood gas indexes of patients.
100 patients with VAP admitted to our hospital from February 2018 to November 2019 were randomly selected and divided into control group and experimental group, with 50 patients in each group. Patients in the control group received routine nursing intervention with early activity, and patients in the experimental group received comprehensive nursing intervention with early activity. The incidence of adverse reactions, length of hospital stay, blood gas index, nursing efficiency, and nursing satisfaction were compared between the two groups.
Compared with the control group, the incidence of adverse reactions, mental status scale in non-psychiatric settings (MSSNS) score and length of hospital stay in the experimental group were noticeably lower (P<0.05), while the partial arterial oxygen pressure (PaO) and saturation of blood oxygen (SaO) in the experimental group were higher (P<0.05), and the arterial partial pressure carbon dioxide (PaCO) in the experimental group was significantly lower (P<0.05). Nursing efficiency in the experimental group was significantly higher than the control group (P<0.05). Experimental group exhibited higher satisfaction rate compared to the control group (P<0.05).
Comprehensive nursing intervention combined with early activityactivity can significantly reduce the incidence of adverse reactions and hospital stay, improve the blood gas indicators of patients, and promote nursing efficiency.
探讨综合护理联合早期活动在呼吸机相关性肺炎（VAP）患者中的应用效果及其对患者血气指标的影响。
选取2018年2月至2019年11月我院收治的100例VAP患者，随机分为对照组和试验组，每组50例。对照组患者接受常规护理干预及早期活动，试验组患者接受综合护理干预及早期活动。比较两组患者的不良反应发生率、住院时间、血气指标、护理效率及护理满意度。
与对照组相比，试验组的不良反应发生率、非精神科环境下精神状态量表（MSSNS）评分及住院时间明显更低（P<0.05），而试验组的动脉血氧分压（PaO）和血氧饱和度（SaO）更高（P<0.05），试验组的动脉血二氧化碳分压（PaCO）明显更低（P<0.05）。试验组的护理效率明显高于对照组（P<0.05）。试验组的满意度高于对照组（P<0.05）。
综合护理干预联合早期活动可显著降低不良反应发生率及缩短住院时间，改善患者的血气指标，提高护理效率。
