Application of cluster nursing in improving the success rate of emergency NAVA treatment in AECOPD patients
10.3760/cma.j.issn.1674-2907.2017.23.012
- VernacularTitle:集束化护理在提高急诊NAVA治疗AECOPD患者撤机成功率中的应用
- Author:
Huifang DAI
1
;
Xiaoyou SU
;
Fang CHEN
;
Lielie ZHU
;
Weiwen ZHANG
Author Information
1. 温州医科大学附属第二医院内分泌血管外科
- Keywords:
Pulmonary disease;
chronic obstructive;
Pneumonia;
ventilator associated;
Cluster nursing;
Assisted ventilation;
Weaning
- From:
Chinese Journal of Modern Nursing
2017;23(23):2993-2996
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the cluster nursing in improving the weaning success rate of emergency neurally adjusted ventilatory assist (NAVA) in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD).Methods A total of 72 AECOPD patients treated with NAVA in the Second Affiliated Hospital of Wenzhou Medical University emergency intensive care unit (EICU) from January 2014 to January 2016 were collected and randomly divided into observation group and control group according to the random number table, 36 cases respectively. The observation group received the cluster nursing, and the control group used the traditional nursing. The incidence of ventilator associated pneumonia (VAP), length of stay, the service time and weaning success rate of ventilator were compared between two groups.Results The length of stay in EICU [(7.33±1.79) d]and the service time of ventilator [(3.17±0.63) d]in the observation group were shorter than those in the control group, the differences were statistically significant (t=8.912, 16.524;P<0.05). The incidence of VAP (13.89%) in the observation group was statistically significantly lower than those in the control group (χ2=9.425,P<0.05). The weaning success rate (86.11%) in the observation group was significantly higher than that in the control group (χ2=8.134,P<0.05).Conclusions The cluster nursing in AECOPD patients with emergency NAVA treatment can significantly reduce the ventilator-associated complications and improve the success rate of weaning. It is worthy of clinical promotion.
