提高有创呼吸机患者护理质量的策略研究 |
| 王彦娟 |
| 黔西南州人民医院儿科，贵州兴义，562400 |
摘要：目的 本研究旨在针对儿科有创呼吸机患者，探讨提高护理质量的策略，并评估其在实际应用中的效果。方法 在 2021 年 9 月至 2023 年 12 月期间，选取 100 例年龄在 1 月至 14 岁之间的儿科使用有创呼吸机的患者作为研究对象。通过综合文献回顾、专家咨询以及儿科临床实践，制定并实施一系列针对性的护理质量提升策略。这些策略包括呼吸机操作的儿科规范化培训、儿科呼吸道护理的优化措施、以及并发症的儿科预防与处理等。研究采用前后对比的设计，比较策略实施前后儿科患者的护理效果。结果 策略实施后，儿科患者的呼吸机相关性肺炎发生率、机械通气时间、再插管率等关键指标与实施前相比均显著降低。同时，儿科护理人员在呼吸机操作技能、儿科呼吸道护理能力及并发症处理能力方面也表现出显著的提升。结论 针对儿科有创呼吸机患者，通过制定并实施专门的护理质量提升策略，可以有效提高护理质量，降低并发症发生率，缩短机械通气时间，并提升儿科护理人员的专业能力。这为今后进一步优化儿科有创呼吸机患者的护理实践提供了有力的支持。
关健词：有创呼吸机；护理质量；策略
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Strategy research on improving the quality of nursing care for patients with invasive ventilators |
Yanjuan Wang
Department of Pediatrics, Qiannan Prefecture People's Hospital, Xingyi, Guizhou 562400 , China
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Abstract: Objective This study aims to explore strategies to improve nursing quality for pediatric patients with invasive ventilators, and evaluate their effectiveness in practical applications. Methods From September 2021 to December 2023, 100 pediatric patients aged between 1 month and 14 years who were using invasive ventilators were selected as the study subjects.Develop and implement a series of targeted nursing quality improvement strategies through comprehensive literature review, expert consultation, and pediatric clinical practice. These strategies include standardized training on ventilator operation in pediatrics, optimization measures for pediatric respiratory care, and pediatric prevention and management of complications. The study adopts a before and after comparison design to compare the nursing effects of pediatric patients before and after the implementation of strategies. Results After the implementation of the strategy, key indicators such as the incidence of ventilatorassociated pneumonia, mechanical ventilation time, and reintubation rate in pediatric patients were significantly reduced compared to before implementation. At the same time, pediatric nursing staff have also shown significant improvements in ventilator operation skills, pediatric respiratory care abilities, and complication management abilities. Conclusion For pediatric patients with invasive ventilators, developing and implementing specialized strategies to improve nursing quality can effectively improve nursing quality, reduce the incidence of complications, shorten mechanical ventilation time, and enhance the professional competence of pediatric nursing staff. This provides strong support for further optimizing the nursing practice of pediatric patients with invasive ventilators in the future.
Keywords : invasive ventilator; Nursing quality; strategy
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作者声明不存在任何利益冲突。
The author declares no conflict of interest.
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