Observation on the application effect of detailed nursing in elderly patients with severe ventilator-associated pneumonia
细节护理在老年重症呼吸机相关性肺炎患者中的应用效果观察

摘要

目的 探讨细节护理在老年重症呼吸机相关性肺炎（VAP）患者中的应用效果。方法 收集2023.1~2023.12期间在我院接受治疗的100例老年重症VAP患者资料，2023.1~2023.6期间的50名患者（对照组）采取常规护理，2023.7~2023.12期间的50名患者（观察组）采用了细节护理模式。对比两组患者的呼吸机使用时间、ICU治疗时间、住院时间以及炎症指标。结果 观察组的呼吸机使用时间、ICU治疗时间、住院时间明显短于对照组，其差异具有统计学意义（P<0.05）；观察组的炎症指标显著优于对照组，其差异具有统计学意义（P<0.05）。结论 细节护理在老年重症VAP患者中的应用效果显著，可缩短呼吸机使用时间、ICU治疗时间及住院时间，改善肺部炎症情况，促进患者康复，因此，此种护理模式值得进一步推广和应用。

Abstract

Objective: To explore the application effect of detailed nursing in elderly patients with severe ventilator-associated pneumonia (VAP). Method: Data of 100 elderly patients with severe VAP who received treatment in our hospital from March 2023 to December 2023 were collected. 50 patients (control group) received routine care from March 2023 to June 2023, while 50 patients (observation group) received detailed care from March 2023 to December 2023. Compare the duration of ventilator use, ICU treatment, hospital stay, and inflammatory indicators between two groups of patients. Result: The observation group had significantly shorter ventilator usage time, ICU treatment time, and hospital stay compared to the control group, and the differences were statistically significant (P<0.05); The inflammatory indicators in the observation group were significantly better than those in the control group, and the difference was statistically significant (P<0.05).
Conclusion  : The application effect of detailed nursing in elderly patients with severe VAP is significant, which can shorten the time of ventilator use, ICU treatment, and hospitalization, improve pulmonary inflammation, and promote patient recovery. Therefore, this nursing model is worth further promotion and application.