首页|3S2E管理模式在重症机械通气患者中的应用

3S2E管理模式在重症机械通气患者中的应用

扫码查看
目的 探讨3S2E管理模式在重症机械通气患者中的应用效果.方法 采取随机数字表法将2020年5月至2023年2月郑州大学第一附属医院收治的103例神经外科重症机械通气患者分为研究组(51例)与对照组(52例).对照组接受常规护理,研究组在对照组基础上接受3S2E管理模式干预.比较两组干预前后血气指标[动脉血二氧化碳分压(PaCO2)、动脉血氧分压(PaO2)、碱剩余水平]、生命质量综合评定问卷评分、机械通气、住院时间及护理满意度.结果 干预后两组患者PaO2、碱剩余水平均升高,且研究组患者PaO2、碱剩余水平更高(P<0.05);干预后两组患者PaCO2水平降低,且研究组PaCO2水平更低(P<0.05).研究组机械通气时间、住院时长均低于对照组(P<0.05).干预后两组患者生命质量评分均升高,且干预后研究组生命质量评分更高(P<0.05).研究组护理满意度高于对照组(96.08%vs 84.62%,P<0.05).结论 3S2E管理模式应用于重症机械通气患者中可有效缩短机械通气时间与住院时间,改善患者血气指标,提高生命质量.
Application of 3S2E Management Mode in Patients with Severe Mechanical Ventilation
Objective To explore the effect of 3S2E management mode in patients with severe mechanical ventilation.Methods A total of 103 patients with severe mechanical ventilation in neurosurgery were selected as the subjects of this study,and were divided into study group(51 cases)and control group(52 cases)by random number table method.Control group implemented routine nursing intervention,and the research group implemented 3S2E management mode intervention based on control group.Blood gas index[partial pressure of oxygen in arterial blood(PaO2),partial pressure of carbon dioxide in arterial blood(PaCO2),alkali residual level],quality of life comprehensive assessment questionnaire score,mechanical ventilation,length of hospital stay and nursing satisfaction before and after intervention were compared between the two groups.Results After intervention,PaO2 and alkali residual levels were increased in both groups,and study group was higher compared with control group(P<0.05).After intervention,the level of PaCO2 in study group was lower compared with control group(P<0.05).The mechanical ventilation time and hospitalization time of study group were lower compared with control group(P<0.05).After intervention,the quality of life scores of patients in both groups were increased,and the scores of patients in study group were higher compared with control group(P<0.05).The nursing satisfaction of study group was higher than that of control group(96.08%vs 84.62%,P<0.05).Conclusion The application of 3S2E management mode in patients with severe mechanical ventilation can effectively shorten the time of mechanical ventilation and hospital stay,improve the blood gas index of patients,and improve the quality of life.

3S2E management modesevere patientsmechanical ventilationapplication effect

焦莹莹、魏伟、翟银镯、张丽、李佳、刘振峰、康微

展开 >

郑州大学第一附属医院神经外科重症监护病房,河南郑州 450000

郑州大学第一附属医院心血管内科一,河南郑州 450000

郑州大学第一附属医院急诊重症监护室,河南郑州 450000

郑州大学第一附属医院肿瘤科三,河南郑州 450000

展开 >

3S2E管理模式 重症患者 机械通气 应用效果

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(22)