Effect of cluster nursing strategy on preventing ventilator-associated pneumonia in childrenwith severe pneumonia
集束化护理策略预防儿童重症肺炎呼吸机相关性肺炎的效果研究

摘要

目的 分析集束化护理策略预防儿童重症肺炎呼吸机相关性肺炎（VAP）的效果。方法 入选本院收治的76例儿童重症肺炎患儿开展研究工作，选取的时间是2021年1~12月，入选的患儿通过随机分组方式分成参照组与实验组，参照组进行常规性护理，实验组进行集束化护理策略干预，对比两组患儿的机械通气时间、人工气管留置时间、住院时间，对比两组患儿肺功能改善情况与VAP发生概率。结果 干预后，实验组的各项数据均优于参照组，对比P<0.05。结论 集束化护理策略预防儿童重症肺炎VAP发生具备显著临床意义，且还能明显改善患儿的肺功能，促使他们尽快康复出院，减轻家庭经济负担，值得推荐。

Abstract

Objective To analyze the effect of cluster nursing strategy on preventing ventilator-associated pneumonia (VAP) in children with severe pneumonia.
Methods A total of 76 children with severe pneumonia admitted to our hospital were randomly divided into the reference group and the experimental group from January to December 2021. The reference group received routine nursing, and the experimental group received cluster nursing strategy intervention. The mechanical ventilation time, artificial trachea retention time and hospital stay of the two groups were compared. The improvement of lung function and the incidence of VAP were compared between the two groups.
Results After intervention, all the data of the experimental group were better than that of the reference group, P<0.05.
Conclusion   Cluster nursing strategy has significant clinical significance in preventing the occurrence of VAP in children with severe pneumonia, and can also significantly improve the lung function of children, promote their recovery and discharge as soon as possible, reduce the family economic burden, it is recommended.