基于目标策略的分层干预在重症呼吸衰竭通气治疗患者护理中的应用
Application of Target Strategy Based Stratified Intervention in Nursing Care of Patients with Severe Respiratory Failure Undergoing Ventilation Therapy
董瑞霜 1薛珂 1李泽超1
作者信息
- 1. 阜外华中心血管病医院综合重症监护室,郑州 450000
- 折叠
摘要
目的:探讨基于目标策略的分层干预在重症呼吸衰竭(RF)通气治疗患者护理中的应用效果.方法:选取2022 年 1 月至 2023 年 1 月本院收治的 80 例重症RF患者作为研究对象,随机将其分为观察组(n=40,给予基于目标策略的分层干预)和对照组(n=40,仅给予常规干预),两组患者均持续干预至转出重症监护室(ICU).比较两组患者恢复情况、护理前、后动脉血气分析指标[动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)];统计通气治疗期间患者并发症发生情况.结果:护理后,观察组患者呼吸机使用时间、转出ICU时间、住院时间均短于对照组,差异均有统计学意义(P＜0.05);两组患者的PaO2 升高,PaCO2 降低,并且观察组PaO2 高于对照组,PaCO2低于对照组,差异均有统计学意义(P＜0.05);观察组患者并发症发生率低于对照组,差异有统计学意义(P＜0.05).结论:基于目标策略的分层干预更有利于改善重症RF患者的血气水平,可显著减少通气相关并发症的发生,促进患者快速康复.
Abstract
Objective:To explore the application effect of stratified intervention of target strategies in the nursing of patients with severe respiratory failure(RF)undergoing ventilation therapy.Methods:A total of 80 severe RF patients admitted to our hospital from January 2022 to January 2023 were selected as the research objects.The patients were randomly divided into observation group(n=40,received stratified intervention based on target strategies)and control group(n=40,received routine intervention only),using a random number table method.Both groups received continuous care until being transferred out of the intensive care unit(ICU).The recovery status and arterial blood gas indexes[arterial partial pressure of oxygen(PaO2),arterial partial pressure of carbon dioxide(PaCO2)]before and after nursing were compared between the two groups.The incidence of complications in patients were calculated during ventilation therapy.Results:After nursing,compared to control group,observation group had shorter ventilator usage time,ICU transfer time,and hospital stay,and the differences were statistically significant(P＜0.05).Observation group had higher PaO2 than control group,while PaCO2 was lower than control group,and the differences were statistically significant(P＜0.05).The incidence of complications in observation group was lower than that in control group,and the difference was statistically significant(P＜0.05).Conclusion:Stratified interventions based on target strategies are more conducive to improving the blood gas levels of severe RF patients,significantly reducing the occurrence of ventilation related complications,and promoting rapid recovery.
关键词
重症呼吸衰竭/通气治疗/分层干预Key words
Severe respiratory failure/Ventilation therapy/Stratified intervention引用本文复制引用
出版年
2024
NETL
NSTL
万方数据