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The clinical value of comprehensive nursing intervention in preventing ventilator-associated pneumonia
Yunxiu Fan1, Xiaoyan Chu2, Lijuan Jiang3
1Department of Gynaecology, Changyi People's Hospital Changyi, Shandong, P. R. China.
Objective:
The aim of the present study was to evaluate the clinical value of comprehensive nursing intervention in preventing ventilator-associated pneumonia (VAP).
Methods:
Eligible 116 patients who received mechanical ventilation in our hospital from June 2018 to December 2019 were equally randomized into a control group and an observation group. The observation group adopted comprehensive nursing while conventional nursing was adopted in the control group accordingly. The mechanical ventilation time, hospitalization time, VAP incidence, psychological status, quality of life and nursing satisfaction were compared.
Results:
The mechanical ventilation and hospitalization time in the observation group was shorter compared to that in the control group (P < 0.05). For the VAP incidence, the observation group exhibited a significantly lower level than the control group (3.44% vs 13.79%) (P < 0.05). SAS and SDS scores before intervention were not different between the groups (P > 0.05); after intervention, the scores in both groups decreased, and the scores of the former group were significantly lower than those of the latter group (P < 0.05). The quality of life scores before intervention did not show any significant difference (P > 0.05); after intervention, a significant increase of quality of life in the observation group was observed compared to the control group (P < 0.05). The nursing satisfaction rate in the observation group was found to be higher when compared with that in the control group (94.87% vs 81.03%, P < 0.05). After intervention, the oxygenation index, the ratio of alveolar arterial oxygen partial pressure difference to arterial oxygen partial pressure (P(A-a)DO2/PaO2), and oxygen partial pressure in both groups of patients were improved compared with those before intervention. After intervention, a significant increase in the oxygen partial pressure and oxygenation index was identified in the observation group compared with the control group, while the P(A-a)DO2/PaO2 was found to be in a lower level (P < 0.05).
Conclusion:
Comprehensive nursing intervention can shorten the mechanical ventilation and hospitalization time, prevent the occurrence of VAP, ease the negative emotions of patients, and improve their quality of life as well as nursing satisfaction.
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