首页|神经外科颅脑损伤患者机械通气临床护理的效果研究

神经外科颅脑损伤患者机械通气临床护理的效果研究

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目的 分析机械通气临床护理对神经外科颅脑损伤患者的影响.方法 回顾性选取2022年1月—2024年1月天津医科大学附属宝坻医院收治的60例神经外科颅脑损伤患者的临床资料,均需要进行机械通气,依据护理方法的不同分为对照组(n=30,常规护理)和观察组(n=30,集束化护理),比较两组患者的临床护理效果.结果 护理前,两组患者血气指标比较,差异无统计学意义(P>0.05);护理后,两组患者血氧分压、血氧饱和度的水平升高,二氧化碳分压水平下降,且观察组血气指标优于对照组,差异有统计学意义(P均<0.05).观察组并发症总发生率为3.33%,低于对照组的26.67%,差异有统计学意义(χ2=4.706,P<0.05).观察组护理总满意率为 96.67%,高于对照组的 73.33%,差异有统计学意义(P<0.05).观察组总依从率为96.67%,高于对照组的73.33%,差异有统计学意义(P<0.05).结论 神经外科颅脑损伤患者机械通气过程中采用集束化护理可以改善患者的血气指标,提高患者的护理满意度和依从性,降低并发症发生率.
Effect of Clinical Nursing on Mechanical Ventilation for Neurosurgical Pa-tients with Craniocerebral Injury
Objective To analyse of the impact of mechanical ventilation clinical nursing on neurosurgical patients with craniocerebral injury.Methods Clinical data of 60 patients with neurosurgical craniocerebral injury admissed in Tianjin Baodi District People's Hospital from January 2022 to January 2024 were retrospectively selected,all of whom required mechanical ventilation.They were divided into control group(n=30,routine care)and observation group(n=30,cluster care)according to different nursing method.The clinical nursing effect of the two groups was compared.Results Before nursing,there was no significant difference in blood gas indexes between the two groups(P>0.05).Af-ter nursing,the levels of partial pressure of oxygen and blood oxygen saturation increased,and the level of carbon diox-ide partial pressure decreased,and the blood gas indexs of the observation group were better than that of the control group,the differences were statistically significant(all P<0.05).The total incidence of complications in the observation group was 3.33%,lower than 26.67%in the control group,and the difference was statistically significant(χ2=4.706,P<0.05).The total nursing satisfaction of the observation group was 96.67%,higher than that of the control group(73.33%),and the difference was statistically significant(P<0.05).The total compliance rate of the observation group was 96.67%,higher than that of the control group(73.33%),and the difference was statistically significant(P<0.05).Conclusion The use of cluster nursing during mechanical ventilation in patients with craniocerebral injury in neurosur-gery can improve the blood gas index of patients,improve the nursing satisfaction and compliance of patients,and re-duce the incidence of complications.

Cluster nursingCraniocerebral injurySatisfactionBlood gas index

金丽媛、张美丽、方琳

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天津医科大学附属宝坻医院神经外科,天津 301800

天津医科大学附属宝坻医院门诊部,天津 301800

集束化护理 颅脑损伤 满意度 血气指标

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(19)
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