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无隙衔接护理管理在首次气管切开重症患者中的应用效果
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作者 杨晓妍 张志方 张晓旭 《医学临床研究》 CAS 2024年第10期1609-1612,共4页
【目的】探讨无隙衔接护理管理在首次气管切开重症患者中的应用效果。【方法】97例首次行气管切开机械通气治疗的重症患者,随机分为观察组(49例)和对照组(48例),对照组实施常规护理干预,观察组在对照组的基础上实施无隙衔接护理管理干... 【目的】探讨无隙衔接护理管理在首次气管切开重症患者中的应用效果。【方法】97例首次行气管切开机械通气治疗的重症患者,随机分为观察组(49例)和对照组(48例),对照组实施常规护理干预,观察组在对照组的基础上实施无隙衔接护理管理干预。比较两组围术期指标(机械通气时间、置管时间、呼吸机使用时间、监测时间、ICU住院时间)、呼吸功能指标[潮气量(VT)、呼吸频率(RR)、呼吸阻力(Ri)]、气血交换指标[动脉血氧分压(PaO_(2))、吸入氧浓度(FiO_(2))、氧合指数(PaO_(2)/FiO_(2))、二氧化碳分压(PaCO_(2))]和并发症发生情况。【结果】观察组机械通气时间、置管时间、呼吸机使用时间、监测时间及ICU住院时间均明显短于对照组(均P<0.05)。干预前,两组气血指标和呼吸功能指标比较,差异均无统计学意义(P>0.05);干预后,观察组RR、Ri、PaCO_(2)水平均低于对照组,VT、PaO_(2)、PaO_(2)/FiO_(2)水平高于对照组,且差异均有统计学意(P<0.05)。观察组术后并发症总发生率低于对照组(P<0.05)。【结论】无隙衔接护理管理可以显著缩短重症气管切开术患者的机械通气时间及住院时间等,保证患者术后生命体征稳定,改善气血指标并降低并发症发生率。 展开更多
关键词 气管切开术 危重病人医疗/护理
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视频探视联合半开放式探视在重症监护病房清醒患者中的应用效果 被引量:10
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作者 徐萍 马玉梅 《医学临床研究》 CAS 2021年第7期1106-1109,共4页
[目的]探讨视频探视联合半开放探视对重症监护病房(ICU)清醒患者心理状态及ICU综合征的影响。[方法]选择2017年7月至2018年6月在本院ICU住院清醒患者125例为研究对象,以前期(2017-12-30以前)住院的61例为对照组,后期(2018-01-01之后)住... [目的]探讨视频探视联合半开放探视对重症监护病房(ICU)清醒患者心理状态及ICU综合征的影响。[方法]选择2017年7月至2018年6月在本院ICU住院清醒患者125例为研究对象,以前期(2017-12-30以前)住院的61例为对照组,后期(2018-01-01之后)住院的64例为试验组。对照组实施封闭式探视模式护理干预,试验组实施视频探视联合半开放式探视模式护理干预。采用症状自评量表(Symptom Check List 90,SCL-90)评估干预前后两组患者心理状态、ICU综合征发生情况及患者满意度。[结果]试验组患者SCL-90的躯体化、强迫症状、人际关系敏感、抑郁、焦虑、恐惧评分明显低于对照组;ICU综合征表现谵妄、抑郁、失眠、行为异常的发生率明显低于对照组;满意度测评中信息获取、服务态度及满意度总分明显高于对照组,其差异均有统计学意义(P<0.05)。[结论]视频探视联合半开放探视有助于改善重症监护病房清K患者心理状态,预防ICU综合征的发生,提高患者满意度。 展开更多
关键词 危重病人医疗/护理 重症监护病房 探视病人 视频-音频媒体
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Nurses’perception on competency requirement and training demand for intensive care nurses 被引量:4
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作者 Yeray Gabriel Santana-Padilla María Desamparados Bernat-Adell Luciano Santana-Cabrera 《International Journal of Nursing Sciences》 CSCD 2022年第3期350-356,I0004,共8页
Objectives Various authors have explored the combination of competencies necessary for ensuring safe and quality care carried out by nurses in Intensive Care Units(ICUs).Nurses’perception of training is an element th... Objectives Various authors have explored the combination of competencies necessary for ensuring safe and quality care carried out by nurses in Intensive Care Units(ICUs).Nurses’perception of training is an element that must be studied in order to adopt appropriate educational measures.This study aimed to evaluate nurses’perception of the importance of intensive care training in Spain.Methods A descriptive,cross-sectional,multicentre study was conducted on a national level in Spain.Totally 85 ICUs took part in the study.The questionnaire used was developed using the Delphi method and had 66 items to investigate nurses’perception on competency requirements and training needs.The evaluation was conducted by a 10-point Likert scale.Results The sample was 568 Spanish nurses.Significant differences were found on an academic level,in terms of gender and hospital type,and in the professional experience of the nurse when it comes to evaluating the different training items;the differences in overall questionnaire scores among these groups were statistically significant(P<0.05).The nurses analyzed believe that previous training and professional experience in other care services are necessary before starting work in an ICU.Conclusion Implementation of training programs tailored to the needs of critical nurses had benefits for nurses and the health system.Nurses benefited from training focused on the skills and knowledge of each moment of their working life.Nurses have a different evaluation of their training needs throughout their professional cycle.Therefore,their training must be adapted to the professional stage of each nurse. 展开更多
关键词 Competency-based education Critical care nursing Nursing education Nursing staff Staff development Surveys and questionnaires
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