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| Effect of cluster intervention on mechanical ventilation patients in Intensive Care Unit |
| LUO Yanni1 WANG Chunya1 LI Jinna3 XIE Mei ZHAO Haining1 LI Hongling1 |
1.Department of Critical Care Medicine, the Second Affiliated Hospital of Xi′an Jiaotong University, Shaanxi Province, Xi′an 710004, China;
2.Department of Respiratory and Critical Care Medicine, the Second Affiliated Hospital of Xi′an Jiaotong University, Shaanxi Province, Xi′an 710004, China; 3.Department of Hospital Infection Management, the Second Affiliated Hospital of Xi'an Jiaotong University, Shaanxi Province, Xi′an 710004, China |
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Abstract Objective To explore the effect of clustering intervention on patients with mechanical ventilation, in order to provide a reference for clinical treatment. Methods From January 2017 to June 2018, in the Second Affiliated Hospital of Xi'an Jiaotong University, 220 patients with severe ventilator-assisted breathing in ICU were selected, according to random number table method, they were divided into control group and observation group, with 110 cases in each group. The control group was given routine nursing, in addition, the observation group was simultaneously treated with clustering intervention. The indicators included mechanical ventilation time, ICU hospitalization time, hospitalization cost, pathogen detection, VAP incidence and satisfaction rate of patients in two groups were compared. Results The mechanical ventilation time, ICU hospitalization time, hospitalization cost, the incidence of VAP and the total number of plants detected by the pathogen of the observation group were significantly lower than those of the control group, and the satisfaction rate was higher than that in the control group, the differences were statistically significant (P < 0.05). Conclusion The results indicated that cluster intervention might reduce the mechanical ventilation time, ICU hospitalization time, the hospitalization cost and the incidence of ventilator-associated pneumonia, and improve patients′ satisfaction simultaneously.
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