Relative factors on implementation defect of bundle care program in ventilator-associated pneumonia
10.3760/cma.j.issn.1674-2907.2017.18.001
- VernacularTitle:VAP集束化护理方案实施缺陷的相关因素分析
- Author:
Yanling SHEN
1
;
Jing CHEN
;
Jiehong LI
;
Jing YANG
Author Information
1. 中日友好医院ICU
- Keywords:
Ventilator-associated pneumonia;
Bundle care;
Implementation defect;
Relative factors
- From:
Chinese Journal of Modern Nursing
2017;23(18):2325-2328
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relative factors on implementation defect of bundle care program in prevention of ventilator-associated pneumonia(VAP) in patients with endotracheal intubation.Methods The clinical data of 72 patients with endotracheal intubation in medical intensive care unit(MICU) of a classⅢ grade A hospital in Beijing from January 2015 to June 2015 were collected. They were divided into the group of defect(n=30) and the group of non-defect(n=42) according to the existence of implementation defect of bundle care program. The relative factors of implementation defect were analyzed.Results The score of Glasgow was (10.70±3.91) in the group of defect, which was higher than that in the group of non-defect(t=2.434, P=0.017). The proportion of application of CRRT was 50% in the group of defect higher than that in the group of non-defect(x2=2.434,P=0.011). The nurse-patient ratio was (0.46±0.03) in the group of defect lower than that in the group of non-defect(t=2.060,P=0.043). The multi-factor analysis showed the high score of Glasgow, application of CRRT and low nurse-patient ratio was the risk factors of the occurrence of implementation defect of bundle care program in prevention of VAP(P<0.05).Conclusions The implementation defect of bundle care program in precaution of VAP is affected not only by the knowledge-attitude-practice of staff,but also by many objective factors from patients and environment. The managers should reply with a positive attitude so as to improve nursing outcomes.
