Application of cluster nursing in fine management of artificial airway in critically ill patients

doi:10.3969/j.issn.1009-6493.2017.09.014

Abstract：Objective:To probe into the application effect of cluster nursing program in fine management of artificial airway in critically ill patients.Methods:A total of 142 patients applying artificial airway in our hospital ICU from August 2014 to January 2015 was observation group,while a total of 148 patients from August 2013 to February 2014 as control group.The control group adopted routine nursing method of artificial airway.Observation group added bundle of fine management,through standardize training to nurses who followed the cluster scheme.The incidence of pulmonary infection,mechanical ventilation time and the incidence of ventilator associ-ated pneumonia(VAP)in two groups of patients with artificial airway during 3 d~5 d、6 d~10 d were observed.Results:Artificial airway was established 3 days to 5 days,in the observation group the incidence of pulmonary infection was 12.0%,the incidence of VAP was 13.3%;while in the control group,the incidence of pulmonary infection was 19.6%,the incidence of VAP was 25 .0%.There were statistically significant in two groups of the incidences of pulmonary infection and VAP(P<0.05).Artificial airway was established 6 d to 10 d,in the observation group the incidence of pulmonary infection was 16.9%,the incidence of VAP was 17.3%;while in the control group,the incidence of pulmonary infection was 43.9%,the incidence of VAP was 38.5%. There were statistically significant differences in the incidences of pulmonary infection and VAP between both groups(P<0.01).The mechanical ventilatin time in observation group was 7.61 d±2.16 d,while the control group was 10.74 d±2.77 d.There were statistically significant in two groups of mechanical ventilation time(P<0.01).Conclusions:Application of cluster nursing program in the fine management of artificial airway in critically ill patients could reduce the incidencing of pulmonary infection and the incidence of VAP in patients with mechanical ventilation and shorten the mechanical ventilation time.