Abstract

Objective: To investigate the clinical value of comprehensive nursing intervention in prevention of ventilator-associated pneumonia. Methods: From June 2018 to December 2019, a total of 116 patients who received mechanical ventilation were selected as research participants, and they were divided into control group (n=58) and observation group (n=58) according to the random number table method. In the observation group, patients were treated with comprehensive nursing, while patients in the control group were treated with conventional nursing. The mechanical ventilation time, hospitalization time, VAP incidence, psychological status, quality of life and nursing satisfaction of patients were compared in the two groups. Results: The mechanical ventilation and hospitalization time of patients in the observation group were less than those of patients in the control group, and the difference was statistically significant (P<0.05). The incidence of VAP was 3.44% in the observation group, which was lower than that in the control group (13.79%), and the difference was statistically significant (P<0.05). The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of patients in the two groups before intervention were not of statistically significant difference (P>0.05). After intervention, the SAS and SDS scores decreased in the two groups, and the scores in the observation group were significantly lower than those in the control group (P<0.05). The quality of life scores before intervention between the two groups were not statistically significant (P>0.05). After intervention, the quality of life scores in the observation group were higher than those in the control group, and the difference was statistically significant (P<0.05). The nursing satisfaction rate in the observation group was 94.87%, which was significantly higher than that in the control group (81.03%) (P<0.05). Conclusion: Comprehensive nursing intervention can shorten the time of mechanical ventilation and hospitalization, prevent the occurrence of VAP, alleviate the negative emotions of patients, and improve their quality of life as well as nursing satisfaction.

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