Application of Airway Management Optimization Based on the Concept of Checklist Reform in the Nursing of ICU Patients undergoing Tracheal Intubation
Objective:To explore the application effect of airway management optimization based on the concept of checklist reform in the nursing of patients undergoing tracheal intubation in intensive care unit(ICU).Method:A total of 140 ICU patients who were scheduled to undergo tracheal intubation in Yingtan City People's Hospital from May 2022 to May 2023 were selected and were randomly divided into an airway management optimization group and a control group.The control group received conventional airway management and included 70 patients,while the airway management optimization group received an airway management optimization intervention model based on the checklist reform concept and included 70 patients.The incidence of ventilator-associated pneumonia,secondary catheterization rate,catheterization time,sedative and analgesic effects[critical-care pain observation tool(CPOT),Richmond agitation and sedation scale(RASS)]during the first catheterization,incidence of adverse events(catheter shedding,skin injury,unplanned extubation)and nursing satisfaction[Newcastle nursing satisfaction scale(NSNS)]were compared between the two groups.Result:The incidence of ventilator-associated pneumonia in the airway management optimization group was 2.86%,which was lower than 11.43%in the control group,the difference was statistically significant(P<0.05).The incidence of secondary catheterization in the airway management optimization group was 5.71%,which was lower than 17.14%in the control group,the difference was statistically significant(P<0.05).The intubation time of patients in the airway management optimization group was shorter than that of the control group,the difference was statistically significant(P<0.05).The scores of CPOT and RASS were decreased in both both groups over time,and the scores of the airway management optimization group were lower than those of the control group,the differences were statistically significant(P<0.05).The differences in inter group,time,and interaction effects between the two groups were statistically significant(P<0.05).The incidence of adverse events in the airway management optimization group was 7.14%,which was lower than the 18.57%in the control group,the difference was statistically significant(P<0.05).The nursing satisfaction of the airway management optimization group was(86.45±5.21)points,which was higher than(79.52±6.11)points of the control group,the difference was statistically significant(P<0.05).Conclusion:Clinical effect of airway management optimization based on the concept of checklist reform is good in the nursing of ICU patients undergoing tracheal intubation,which can play sedative and analgesic effects,significantly reduce the incidence of adverse events and negative emotions,and improve clinical satisfaction.
Airway managementIntensive care unitTracheal intubationChecklist reform
万方数据
维普
