首页|ICU重症颅脑损伤患者实施人工气道集束化护理的效果研究

ICU重症颅脑损伤患者实施人工气道集束化护理的效果研究

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目的 研究集束化护理对于ICU重症颅脑损伤建立人工气道患者的影响.方法 前瞻性随机选取2021年4月—2023年4月就诊于山东第一医科大学第二附属医院的80例ICU重症颅脑损伤患者为研究对象,均为其建立人工气道.使用随机数表法分组,对照组40例接受常规护理,观察组40例采取集束化护理.比较两组患者护理相关指标、并发症发生率以及家属满意度情况.结果 观察组每日吸痰次数与每日吸痰量均明显高于对照组,机械通气时间短于对照组,差异有统计学意义(P均<0.05).观察组并发症总发生率(5.00%)低于对照组(20.00%),差异有统计学意义(x2=4.114,P=0.042).观察组家属护理总满意度高于对照组,差异有统计学意义(P<0.05).结论 运用人工气道集束化护理为ICU重症颅脑损伤患者提供服务,可辅助吸除更多的痰液量,使患者尽早脱离机械通气,相关并发症发生率更低,家属满意度更高.
Effect of Artificial Airway Cluster Nursing in ICU Patients with Severe Craniocerebral Injury
Objective To study the effect of cluster nursing on artificial airway establishment in ICU patients with se-vere craniocerebral injury.Methods A total of 80 ICU patients with severe craniocerebral injury admitted to the Sec-ond Affiliated Hospital of Shandong First Medical University from April 2021 to April 2023 were prospective ran-domly selected as the study objects to establish artificial airways for all of them.Random number table method was used to divide the patients into groups.40 patients in control group received routine nursing and 40 patients in obser-vation group received cluster nursing.Nursing related indicators,complication rate and satisfaction of family members were compared between the two groups.Results The daily times of sputum aspiration and daily amount of sputum aspi-ration in observation group were significantly higher than those in control group,and the mechanical ventilation time was shorter than that in control group,the differences were statistically significant(all P<0.05).The total incidence of complications in the observation group was 5.00%,which was lower than 20.00%in the control group,and the differ-ence was statistically significant(x2=4.114,P=0.042).The total nursing satisfaction of family members in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion The use of artificial airway cluster nursing to provide services for ICU patients with severe craniocerebral injury can assist in the suction of more sputum,so that patients can be removed from mechanical ventilation as soon as possible,the in-cidence of related complications is lower,and family satisfaction is higher.

ICUSevere craniocerebral injuryArtificial airwayCluster nursingComplication

高新平、唐欣元、昌隆基、唐信强、贾玲敏

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山东第一医科大学第二附属医院,山东泰安 271000

ICU 重症颅脑损伤 人工气道 集束化护理 并发症

泰安市科技创新发展项目

2022NS271

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(15)