Effect of the “problem solving for better health” method on improving the compliance of raising the head of bed of invasive mechanical ventilation patients in ICU
10.3760/j.issn.1674-2907.2014.09.023
- VernacularTitle:“解决问题，促进健康”方法对提高 ICU 有创机械通气患者床头抬高依从性的效果
- Author:
Yan LI
1
;
Qi LI
;
Wei KUI
;
Cuimin KOU
;
Ying LYU
;
Ye ZHOU
Author Information
1. 100021 北京，中国医学科学院肿瘤医院ICU
- Keywords:
Pneumonia,ventilator-associated;
Nurse;
Problem solving for better health;
Raise the head of bed;
Compliance
- From:
Chinese Journal of Modern Nursing
2014;20(9):1053-1056
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the strategies that can improve the nurses ’ compliance of raising the head of a bed for 30 -45 °on mechanical ventilation patients and evaluate the clinical effect .Methods Before implementing “problem solving for better health ( PSBH )”, 78 patients of invasive mechanical ventilation in ICU were included as the control group from January 2012 to July 2012 .After implementing PSBH , 119 patients were included as the experimental group , from October 2012 to May 2013 .By training the nurses , improving the working conditions and putting up posters , the compliance of nurses and the incidence of ventilator associated pneumonia from each group were compared .Results Nurses’ compliance of raising the head of bed for 30-45°was 55.2%in experimental group, which was higher than that of control group (22.0%).The difference was statistically significant (χ2 =237.4, P <0.01).The incidence of ventilator associated pneumonia was 10.1‰ in experimental group, which was lower than that of control group (26.8‰).The difference was statistically significant (χ2 =5.11, P <0.05).Conclusions After the PSBH intervention, the nurses’ compliance of raising the head of bed was increased , and the incidence of ventilator associated pneumonia was reduced.PSBH plays an important role in promoting the patients ’ health.
