摘要
目的探讨针对性气道护理模式在重症监护室(ICU)患者中的应用效果。方法选择2021年1月—2022年12月医院120例ICU患者,按组间基线资料可比的原则将其分为对照组和观察组,每组60例。对照组予以常规护理,观察组采用针对性气道护理。观察两组患者护理干预前、护理干预5 d后的呼吸状况及舒适度,比较其康复进程、导管堵塞情况及呼吸机相关性肺炎(VAP)发生情况。结果观察组患者护理干预5 d后的PaO_(2)水平高于对照组,组间比较差异有统计学意义(P<0.05)。PaCO_(2)水平低于对照组,组间比较差异有统计学意义(P<0.05)。观察组患者护理干预5 d后的Kolcaba舒适状况量表(GCQ)评分高于对照组,差异有统计学意义(P<0.05)。观察组患者机械通气时间及ICU治疗时间分别为6.50±1.08 d和7.84±1.50 d,短于对照组的7.22±1.36 d和8.68±1.74 d,差异有统计学意义(P<0.05);观察组患者机械通气期间的导管堵塞程度较对照组轻,且VAP发生率低于对照组,差异均有统计学意义(P<0.05)。结论针对性气道护理模式可改善ICU患者呼吸状况及舒适度,缩短康复进程,并可减轻患者机械通气治疗期间导管堵塞程度,降低VAP发生率。
Objective To explore the application effect of targeted airway nursing model in intensive care unit(ICU)patients was as the study subject.Methods A total of 120 ICU patients in the hospital from January 2021 to December 2022 were selected and divided into a control group and an observation group based on the principle of comparable baseline data between groups,with 60 cases in each group.The control group received routine care,and the observation group received targeted airway care.The respiratory conditions and comfort levels of the two groups of patients before nursing intervention and 5 days after nursing intervention were observed,and their recovery process,catheter blockage and ventilator associated pneumonia(VAP)occurrence were compared.Results The PaO_(2) level of the observation group after 5 days of nursing intervention was higher than that of the control group,the difference between the groups was statistically significant(P<0.05).The PaCO_(2) level in the observation group was lower than that in the control group,the difference between the groups was statistically significant(P<0.05).The Kolcaba general comfort questionnaire(GCQ)score of the observation group after 5 days of nursing intervention was higher than that of the control group,the difference was statistically significant(P<0.05).The mechanical ventilation time and ICU treatment time of the patients in the observation group were 6.50±1.08 d and 7.84±1.50 d respectively,which were shorter than the 7.22±1.36 d and 8.68±1.74 d in the control group,the differences were statistically significant(P<0.05).The degree of catheter blockage during mechanical ventilation in the observation group was lighter than that in the control group,the incidence of VAP was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion The targeted airway nursing model can improve the respiratory condition and comfort of ICU patients,shorten the recovery process,reduce the degree of catheter blockage during mechanical ventilation treatment,and reduce the incidence of VAP.
作者
周晓玲
邵小燕
丁菊红
龚亚驰
陆玉梅
ZHOU Xiaoling;SHAO Xiaoyan;DING Juhong;GONG Yachi;LU Yumei(Nantong Third People's Hospital,Nantong 226300,China)
出处
《护理实践与研究》
2024年第1期106-111,共6页
Nursing Practice and Research
基金
江苏省老年健康科研项目(编号:LD2021033)。
关键词
气道护理
重症监护室
呼吸功能
呼吸机相关性肺炎
舒适度
Airway nursing
Intensive care unit
Respiratory function
Ventilator associated pneumonia
Comfort
