摘要
目的 探讨肺康复无创通气患者临床接受基于循证的护理方案的临床效果，并观察其对呼吸机相关性肺炎（VAP）的干预效果。方法 择2024年1月-2025年1月我院无创通气治疗的肺康复患者，共计纳入100例，利用电脑随机抽取的方式对患者进行分组，并根据组别给予常规护理（参照组，50例）及基于循证的护理方案（研究组，50例），观察护理效果，统计对比两组VAP的发生率、机械通气时间、住院时间、肺功能指标、患者满意度相关研究数据，并利用SPSS 30.0软件统计学分析。结果 两组数据统计，与参照组数据对比，研究组VAP的发生率较低，机械通气时间及住院时间用时短，FVC、FEV1、FEV1/FVC指标较高，患者满意度较高，两组数据对比有明显差异，且研究组比参照组更有优势（P<0.05）。结论 基于循证的护理方案的应用，可有效降低肺康复无创通气患者VAP发生率，更利于肺功能改善，促使机械通气及住院时间缩短，提升患者满意度，建议广泛应用。
关键词： 循证护理；肺康复；无创通气；呼吸机相关性肺炎
Abstract
Objective To investigate the clinical outcomes of implementing evidence-based nursing protocols for patients undergoing non-invasive ventilation in pulmonary rehabilitation, with particular focus on their intervention effects on ventilator-associated pneumonia (VAP). Methods A total of 100 patients receiving non-invasive ventilation in our hospital from January 2024 to January 2025 were enrolled. Patients were randomly assigned to either a control group (50 cases) receiving standard care or an evidence-based nursing protocol group (50 cases). The study compared both groups in VAP incidence, mechanical ventilation duration, hospitalization duration, lung function parameters, and patient satisfaction through statistical analysis using SPSS 30.0 software. Results Statistical analysis revealed that the study group demonstrated significantly lower VAP incidence, shorter mechanical ventilation and hospitalization durations, higher FVC, FEV1, and FEV1/FVC scores, along with greater patient satisfaction. The study group showed statistically significant advantages over the control group (P<0.05). Conclusion The application of evidence-based nursing protocols effectively reduces VAP incidence in non-invasive ventilation patients during pulmonary rehabilitation, promotes lung function improvement, shortens mechanical ventilation and hospitalization duration, and enhances patient satisfaction. These findings support the recommendation for widespread implementation of such protocols.
Key words： Evidence-based nursing; Pulmonary rehabilitation; Non-invasive ventilation; Ventilator-associated pneumonia
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