The impact of cluster nursing strategies on reducing ventilator-associated pneumonia and airway obstruction in ICU patients
集束化护理策略对减少ICU患者呼吸机相关性肺炎及气道阻塞的影响

摘要

目的 探讨集束化护理策略在减少ICU患者呼吸机相关性肺炎及气道阻塞方面的应用效果。方法 择2022年1月-2025年1月间我院100例ICU机械通气患者，判定患者各项资料符合研究标准后对其进行分组，50例患者纳入研究组并给予集束化护理，50例患者纳入参照组并给予常规护理，两组护理效果对比，统计相关数据观察组间差异，以此体现区别应用价值。数据包括：呼吸相关性肺炎发生率、气道阻塞发生率、机械通气时间、ICU住院时间、患者满意度。结果 与参照组对比，呼吸机相关性肺炎发生率及气道阻塞发生率研究组更低（P<0.05）；机械通气时间及ICU住院时间研究组用时更短（P<0.05）；患者满意度研究组更高（P<0.05）；组间对比差异明显，且研究组优于参照组。结论 集束化护理策略可有效降低ICU患者呼吸机相关性肺炎及气道阻塞发生率，并缩短机械通气时间及ICU住院时间，提高患者满意度，建议推广应用。

Abstract

Objective To explore the application effect of cluster nursing strategies in reducing respiratory-associated pneumonia and airway obstruction in ICU patients.
Methods A total of 100 patients with mechanical ventilation in the ICU of our hospital from January 2022 to January 2025 were selected. After determining that the various data of the patients met the research criteria, they were grouped. Fifty patients were included in the study group and received cluster care, and 50 patients were included in the reference group and received routine care. The nursing effects of the two groups were compared, and the relevant data were statistically analyzed to observe the differences between the groups. This reflects the differentiated application value. The data include: the incidence of respiration-associated pneumonia, the incidence of airway obstruction, the duration of mechanical ventilation, the length of stay in the ICU, and patient satisfaction.
Results Compared with the reference group, the incidence of respiration-related pneumonia and airway obstruction in the study group was lower (P<0.05); The duration of mechanical ventilation and ICU stay in the study group was shorter (P<0.05). The patient satisfaction rate was higher in the study group (P<0.05); The differences between groups were significant, and the study group was superior to the reference group.
Conclusion   The cluster nursing strategy can effectively reduce the incidence of ventilator-associated pneumonia and airway obstruction in ICU patients, shorten the duration of mechanical ventilation and ICU stay, and improve patient satisfaction. It is recommended to be promoted and applied.