在私人家庭护理中患有呼吸机相关肺炎的患者的个人资料
Fabiana Schimidt Cezar1, Fabiana Camolesi Jacober1, Heloísa Amaral Gaspar Gonçalves1
1Home Doctor. São Paulo, São Paulo, Brazil.
Revista brasileira de enfermagem
|July 31, 2024
概括
在家庭护理患者中,呼吸机相关肺炎 (VAP) 的发病率和死亡率较低. 这项研究分析了私人家庭护理机构的VAP概况和结果,并将其与国家数据进行比较.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 肺部医学 肺部医学
背景情况:
- 呼吸机相关肺炎 (VAP) 是需要机械呼吸的患者的一个重大问题.
- 了解家庭护理环境中的VAP发生率和结果对于患者管理至关重要.
- 家庭护理为VAP预防和治疗带来了独特的挑战和潜在的好处.
研究的目的:
- 确定在私人家庭护理中发展VAP的患者的个人资料和临床结果.
- 将家庭护理中VAP的发病率与国家监测数据进行比较.
- 在家庭护理环境中评估VAP管理和死亡率.
主要方法:
- 使用私人诊所患者记录进行回顾性研究设计 (2021年7月 - 2022年6月).
- 纳入标准集中在连续机械呼吸的患者;排除包括间歇性呼吸或没有呼吸器支持.
- 数据分析包括VAP发病率密度,患者人口统计,并发症,治疗环境和死亡率.
主要成果:
- 机械通风的利用率为15.9%.
- VAP发病率密度低于国家数据:2.2/1000通风日 (儿科) 和1.7/1000通风日 (成人).
- 在73名患者中发生了101次VAP发作 (65.8%的男性,53.4%的成年人,57.5%患有神经疾病);80.2%在家接受治疗,有1人死亡.
结论:
- 在家庭护理环境中,VAP的发病率很低.
- 在这种家庭护理队列中,与VAP相关的死亡率显著较低.
- 研究结果表明,在私人家庭护理环境中,有效的VAP管理是可以实现的.
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