Nursing status of patients with mechanical ventilation and evidence-based consideration

Objective To study the nursing status of the patients with mechanical ventilation in China. With the reference literature and guidelines, seeking and providing the best evidence and the basis for best practice nursing about mechanical ventilation. Methods We use the convenience sampling method that under the organization and call of the hospital infection nursing professional committee from China nursing association from July to September 2015. 87 hospitals of 13 provinces were selected, and the self-designed questionnaires were used to survey the status of 948 patients with mechanical ventilation. Results For the position management, 26.9% of patients were supine position; 69.6% of patients used semireclining position; 26.9% of patients had orders about position management. For the oral nursing, 4.0% of patients were 1 times/day; 49.7% of patients were 2 times/day; 43.7% of patients were 3 to 4 times/day; 37.5% of patients used chlorhexidine solution to cleaning the oral cavity; 39.3% of patients used normal saline; 84.8% of patients had orders about oral care. For the airbags secretion clean, 78.6% of patients used methods to attract the airbags secretion. For the replace the outside line, 77.8% of patients were 1time/week; 5.4% of patients were 1 time/2 weeks; 1.1% of patients were 1time/4weeks; 3.8% of patients were no indications and no replacement. For the prevention of peptic ulcer, 56.5% of patients used medicine to prevent peptic ulcer. Conclusions Clinical nurses hadn′t achieve unified norms and standards in nursing for patients with mechanical ventilation. There was also existing great gap between guideline recommendations and clinical practice. Currently, the biggest challenge of clinical workers is how to introduce the best evidence to clinic effectively. Key words: Respiration, artificial; Evidence-based nursing; Guideline