重症监护室护士声门下吸引执行率调查分析

发布时间：2019-06-01 06:51

【摘要】：目的声门下吸引是预防呼吸机相关性肺炎(ventilator associated pneumonia,VAP)的重要措施。为了解ICU护士声门下吸引执行率的现状,探讨提高声门下吸引执行率的措施。方法采用现场观察法,将9名经过声门下吸引培训的护士作为观察者,随机分配到普通外科监护室、重症医学科监护室、急救医学科,每科3名,观察我院69名ICU护士在白班(08:00、12:00、16:00)和夜班(20:00、24:00、04:00)各时间点声门下吸引执行率情况。结果 ICU护士总体平均声门下吸引执行率为76.10%,其中白班声门下吸引执行率高于夜班(81.79%vs 70.00%,P0.01);气道专职护士执行率高于非气道专职护士执行率(89.04%vs 70.85%,P0.01);护士年资1~2年、6~9年、≥10年,执行率分别为62.88%、74.96%、81.06%、91.40%,两两比较差异有统计学意义(P0.01),且随年资增加执行率呈上升趋势。结论 ICU护士声门下吸引执行率有待提高,应合理分级配置人力资源,加强人工气道规范化培训,持续改进人工气道护理质量。
[Abstract]:Objective subglottic attraction is an important measure to prevent ventilator-associated pneumonia (ventilator associated pneumonia,VAP). In order to understand the present situation of subglottic attraction execution rate of ICU nurses, and to explore the measures to improve the subglottic attraction execution rate. Methods Nine nurses trained under glottic attraction were randomly assigned to general surgical intensive care unit and emergency medicine department with 3 nurses in each department by field observation. The attraction implementation rate of 69 ICU nurses in day shift (08: 00, 12: 00, 16: 00) and night shift (20: 00, 24: 00, 04: 00) was observed. Results the overall average subglottic attraction implementation rate of ICU nurses was 76.10%, and the subglottic attraction implementation rate of day shift was higher than that of night shift (81.79%vs 70.00%, P01). The implementation rate of airway full-time nurses was higher than that of non-airway nurses (89.04%vs 70.85%, P 0.01). The implementation rate of nurses was 62.88%, 74.96%, 61.06% and 91.40%, respectively. There was significant difference between the two groups (P 0.01), and the implementation rate increased with the increase of seniority. Conclusion the implementation rate of subglottic attraction of ICU nurses needs to be improved. It is necessary to allocate human resources reasonably, strengthen the standardized training of artificial airway, and continuously improve the nursing quality of artificial airway.
【作者单位】：南京军区南京总医院护理部;解放军普通外科研究所;
【基金】：南京市科技发展计划(201201082)
【分类号】：R473

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