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首页> 外文期刊>International Journal of Africa Nursing Sciences >Patients’ weaning from mechanical ventilation: Complete versus incomplete ventilator bundle implementation
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Patients’ weaning from mechanical ventilation: Complete versus incomplete ventilator bundle implementation

机译：患者从机械通气中撤机：完全或不完全的呼吸机捆绑实施

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Aims and objectivesTo examine the effect of complete versus incomplete ventilator bundle implementation on weaning scores among mechanically ventilated patients.BackgroundImplementation of the elements bundle alone or with other preventive measures is associated with reducing ventilator-associated pneumonia (VAP) rates. Few research studies were conducted nationally and internationally on the ventilator bundle practices and its effect on weaning from mechanical ventilation.DesignQuasi-experimental design was utilized in this study.MethodsA convenient sample of 60 mechanically ventilated patients including all modes except continuous positive airway pressure (CPAP) mode were enrolled and then divided randomly into study and control group. The study group included patients for whom all elements of the ventilator bundle were implemented completely by the trained nurses while the control group included patients who received traditional care where ventilator bundle elements were not done completely. Sociodemographic, medical data, ventilator bundle compliance checklist, and Burns' wean Assessment Program (BWAP) checklist were collected and evaluated.ResultsThere was a significant statistical difference between study group and control group regarding the duration of mechanical ventilation and weaning scores. As most of the study group demonstrated shorter duration of the connection to mechanical ventilation when compared to the control group. As well, the study group obtained higher weaning scores than the control group.ConclusionThe study group who received complete ventilator bundle practices has got higher weaning scores and shorter duration of the connection to mechanical ventilator than the control group.Relevance to clinical practiceimplementation of complete ventilator bundle elements together among mechanically ventilated patients by the trained nurses could be effective in accelerating the safe weaning of patients and decreasing the duration of the connection to mechanical ventilation.
机译：目的和目的检查机械通气患者使用完全或不完全呼吸机束对断奶评分的影响。单独实施元素束或采取其他预防措施与降低呼吸机相关性肺炎（VAP）率有关。国内外很少进行有关呼吸机束操作及其对机械通气断奶的影响的研究。设计采用准实验设计方法：对60例机械通气患者进行方便的采样，包括除持续气道正压通气外的所有模式）模式，然后随机分为研究组和对照组。研究组包括由训练有素的护士为其呼吸机束的所有元件完全实施过的患者，而对照组则包括接受了传统护理而呼吸机束的元件未完全完成的患者。收集并评估了社会人口统计学，医学数据，呼吸机束顺应性检查表和Burns的断奶评估程序（BWAP）检查表。结果在机械通气的持续时间和断奶评分方面，研究组与对照组之间存在显着的统计学差异。与对照组相比，大多数研究组显示出与机械通气的连接时间更短。同样，研究组的断奶评分也高于对照组。结论接受了完整的呼吸机束练习的研究组的断奶评分更高，并且与机械呼吸机的连接持续时间也比对照组要短。由训练有素的护士在机械通气患者中将元件捆绑在一起，可以有效地加速患者的安全断奶，并缩短与机械通气的连接时间。

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