摘要
目的:探讨经鼻高流量湿化氧疗联合循证护理干预在EICU中的应用价值。方法:选取2019年9月~2021年5月EICU中的120例重症患者,均行经鼻高流量湿化氧疗,依据随机数字表法分为对照组(n=60),实施临床常规护理;研究组(n=60),在常规护理基础上开展循证护理,比较两组干预前后睡眠质量变化、高流量吸氧时间、EICU停留时间及并发症发生率。结果:两组患者干预后睡眠状况较干预前均有所好转(P<0.05),且研究组患者匹茨堡睡眠质量指数量表评分改善程度优于对照组(P<0.05);研究组患者高流量吸氧时间及EICU停留时间均短于对照组(P<0.05)。结论:经鼻高流量湿化氧疗联合循证护理干预能改善EICU患者睡眠质量,减少氧疗并发症出现,缩短其住院时间,促进其康复,值得临床应用。
Objective:To assess the value of nasal high flow humidification oxygen therapy combined with evidence-based nursing intervention in patients in Emergency of Intensive Care Unit(EICU).Methods:One hundred and twenty critically ill patients in EICU were included from September 2019 to May 2021,and undergone nasal high flow humidification oxygen therapy.The patients were divided into control group(n=60,cared by routine clinical program)and study group(n=60,treated by nasal high flow humidification oxygen therapy combined with evidence-based nursing intervention)using random number table.The two groups were compared regarding the changes of sleep quality,high flow oxygen inhalation time,length of EICU stay and incidence of complications before and after intervention.Results:The sleep status were improved in the two groups after the intervention(P<0.05),and the scoring on Pittsburgh Sleep Quality Index was significantly better in the study group than in the control group(P<0.05),yet patients in the study group had shorter high flow oxygen inhalation time and days of EICU stay than those in the control group(P<0.05).Conclusion:Nasal high flow humidification oxygen therapy combined with evidence-based nursing intervention is worthy of recommendation because of this care can improve sleep quality,reduce complications of oxygen therapy,shorten the hospitalization time,and promote earlier recovery in patients in EICU.
作者
罗元元
陶秀彬
王家俊
LUO Yuanyuan;TAO Xiubin;WANG Jiajun(Emergency of Intensive Care Unit,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,China)
出处
《皖南医学院学报》
CAS
2022年第2期190-193,共4页
Journal of Wannan Medical College
基金
弋矶山医院科技创新团队“攀峰”培育计划(PF2019014)。
关键词
经鼻高流量湿化氧疗
循证护理
急诊重症监护室
并发症
nasal high flow humidification oxygen therapy
evidence based nursing
Emergency of Intensive Care Unit
complications
