Objective:To investigate the preventive effect and influencing factors of care bundle intervention on ventilator-associated pneumonia(VAP) in patients treated with mechanical ventilation in critical care medicine department, andto provide intervention measures to reduce the incidence of VAP.Methods:The care bundle intervention strategy was applied to 247 patients receiving mechanical ventilation in our hospital from January 2017 to January 2018 in critical care medicine department, and the effects of nursing interventions and related influencing factors were analyzed by single factor analysis and binary logistic regression.Results:Among the 247 cases treated with mechanical ventilation, VAP occurred in 45 cases(18.21%). Age, disturbance of consciousness, tracheotomy, indwelling gastric tube, mechanical ventilation time, acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ) score and compliance with nursing intervention were the influencing factors of VAP(P<0.05). Further analysis showed that whether the patients sleep with the head of the bed elevated and oral care were given, nursing staff strictly adhere to the aseptic procedure and the ventilator line were cleaned regularly, andwhether the endotracheal suction tube was used or not were the influencing factors of VAP(P<0.05). Conclusion:Many factors can influence the incidence of VAP in mechanical ventilation patients when care bundle intervention is conducted. The nursing intervention strategy should be further optimized to reduce the incidence of VAP. |
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