Effect of targeted airway care on patient comfort and ventilator-associated pneumonia in intensive care units
Objective To explore the application effect of targeted airway nursing model in intensive care unit(ICU)patients was as the study subject.Methods A total of 120 ICU patients in the hospital from January 2021 to December 2022 were selected and divided into a control group and an observation group based on the principle of comparable baseline data between groups,with 60 cases in each group.The control group received routine care,and the observation group received targeted airway care.The respiratory conditions and comfort levels of the two groups of patients before nursing intervention and 5 days after nursing intervention were observed,and their recovery process,catheter blockage and ventilator associated pneumonia(VAP)occurrence were compared.Results The PaO2 level of the observation group after 5 days of nursing intervention was higher than that of the control group,the difference between the groups was statistically significant(P<0.05).The PaCO2 level in the observation group was lower than that in the control group,the difference between the groups was statistically significant(P<0.05).The Kolcaba general comfort questionnaire(GCQ)score of the observation group after 5 days of nursing intervention was higher than that of the control group,the difference was statistically significant(P<0.05).The mechanical ventilation time and ICU treatment time of the patients in the observation group were 6.50±1.08 d and 7.84±1.50 d respectively,which were shorter than the 7.22±1.36 d and 8.68±1.74 d in the control group,the differences were statistically significant(P<0.05).The degree of catheter blockage during mechanical ventilation in the observation group was lighter than that in the control group,the incidence of VAP was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion The targeted airway nursing model can improve the respiratory condition and comfort of ICU patients,shorten the recovery process,reduce the degree of catheter blockage during mechanical ventilation treatment,and reduce the incidence of VAP.
Airway nursingIntensive care unitRespiratory functionVentilator associated pneumoniaComfort