首页|针对性气道护理对重症监护室患者舒适度与呼吸机相关性肺炎的影响

针对性气道护理对重症监护室患者舒适度与呼吸机相关性肺炎的影响

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目的 探讨针对性气道护理模式在重症监护室(ICU)患者中的应用效果.方法 选择2021年1月—2022 年 12 月医院 120 例ICU患者,按组间基线资料可比的原则将其分为对照组和观察组,每组 60 例.对照组予以常规护理,观察组采用针对性气道护理.观察两组患者护理干预前、护理干预 5 d后的呼吸状况及舒适度,比较其康复进程、导管堵塞情况及呼吸机相关性肺炎(VAP)发生情况.结果 观察组患者护理干预5 d后的PaO2 水平高于对照组,组间比较差异有统计学意义(P<0.05).PaCO2 水平低于对照组,组间比较差异有统计学意义(P<0.05).观察组患者护理干预 5 d后的Kolcaba舒适状况量表(GCQ)评分高于对照组,差异有统计学意义(P<0.05).观察组患者机械通气时间及ICU治疗时间分别为6.50±1.08 d和7.84±1.50 d,短于对照组的7.22±1.36 d和8.68±1.74 d,差异有统计学意义(P<0.05);观察组患者机械通气期间的导管堵塞程度较对照组轻,且VAP发生率低于对照组,差异均有统计学意义(P<0.05).结论 针对性气道护理模式可改善ICU患者呼吸状况及舒适度,缩短康复进程,并可减轻患者机械通气治疗期间导管堵塞程度,降低VAP发生率.
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

周晓玲、邵小燕、丁菊红、龚亚驰、陆玉梅

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南通市第三人民医院ICU(江苏省南通市,226300)

气道护理 重症监护室 呼吸功能 呼吸机相关性肺炎 舒适度

江苏省老年健康科研项目

LD2021033

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(1)
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