首页|目标导向策略的精细化气道护理用于重症肺炎患者机械通气中的价值研究

目标导向策略的精细化气道护理用于重症肺炎患者机械通气中的价值研究

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目的 探讨目标导向策略的精细化气道护理在重症肺炎患者机械通气中的应用价值。方法 选取2022年1月至2023年8月该院感染性疾病科、重症监护病房(ICU)收治的重症肺炎行机械通气患者99例,根据入院时间前后,将先入院的49例患者分为对照组,后入院的50例患者分为观察组。对照组患者采取常规护理,观察组患者采取目标导向策略的精细化气道护理,对比分析2组患者干预情况。结果 与对照组比较,观察组患者干预后的气道阻力、气道峰压、呼吸压力更低,机械通气、ICU治疗及住院时间更短,气道相关并发症更少,生活质量各维度评分及满意度评分更高,差异均有统计学意义(P<0。05)。结论 目标导向策略的精细化气道护理应用于重症肺炎患者机械通气中可提高其肺功能改善效果,加速病情康复,减少气道相关并发症发生,也能提高患者生活质量及护理满意度。
Research on the value of goal-directed strategy-based refined airway care in mechanical ventilation for patients with severe pneumonia
Objective To explore the application value of goal-directed strategy-based refined airway care in patients with severe pneumonia undergoing mechanical ventilation.Methods A total of 99 patients with severe pneumonia undergoing mechanical ventilation admitted to the Department of Infectious Diseases and Intensive Care Unit(ICU)of this hospital from January 2022 to August 2023 were selected.Based on the admission time,the first 49 patients admitted were assigned to the control group,and the subsequent 50 pa-tients were assigned to the observation group.The control group received routine care,while the observation group received goal-directed strategy-based refined airway care.The interventions in both groups were com-pared and analyzed.Results Compared with the control group,patients in the observation group had lower airway resistance,peak airway pressure,and respiratory pressure after intervention;shorter durations of me-chanical ventilation,ICU treatment,and hospital stay;fewer airway-related complications;higher scores in all dimensions of quality of life and satisfaction after intervention,with statistically significant differences(P<0.05).Conclusion Goal-directed strategy-based refined airway care for patients with severe pneumonia under-going mechanical ventilation can improve lung function,accelerate recovery,reduce the incidence of airway-re-lated complications,and enhance patients'quality of life and nursing satisfaction.

Goal-directed strategyRefined airway careSevere pneumoniaMechanical ventilation

孙栋、孟明哲、董茜、赵栋、牛馨苗、杨记康

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焦作市人民医院感染性疾病科,河南 焦作 454000

目标导向策略 精细化气道护理 重症肺炎 机械通气

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(24)