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针对性护理在神经外科危重患者人工气道管理中的应用效果

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目的:探讨针对性护理在神经外科危重患者人工气道管理中的应用效果。方法:选取 2021 年 6 月—2023 年6 月广东三九脑科医院收治的 94 例神经外科危重患者,根据随机数表法将其分为研究组和对照组,各 47 例。对照组给予常规人工气道护理,研究组给予针对性护理。比较两组不良事件,护理前后生活质量、心理状态,住院情况,护理满意度。结果:研究组不良事件发生率低于对照组,差异有统计学意义(P<0。05)。护理后,研究组健康调查简表(SF-36)评分均高于对照组,差异有统计学意义(P<0。05)。研究组ICU入住时间、机械通气时间及住院时间均短于对照组,差异有统计学意义(P<0。05)。研究组护理总满意度高于对照组,差异有统计学意义(P<0。05)。护理后,研究组焦虑自评量表(SAS)与抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0。05)。结论:在人工气道管理中实施针对性护理可以减少不良事件发生,改善心理状态。
Application Effect of Targeted Nursing in Artificial Airway Management of Critically Ill Patients in Neurosurgery
Objective:To investigate the application effect of targeted nursing in artificial airway management of critically ill patients in neurosurgery.Method:A total of 94 critically ill patients in neurosurgery who admitted to Guangdong Sanjiu Brain Hospital from June 2022 to June 2023 were selected,the patients were divided into the study group and the control group according to random number table method,47 cases in each group.The control group was given routine artificial airway nursing,and the study group was given targeted nursing.The adverse events,quality of life,mental state before and after nursing,hospitalization condition and nursing satisfaction were compared between the two groups.Result:The incidence of adverse events in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).After nursing,the mos item short from health survey(SF-36)scores of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).The ICU stay time,mechanical ventilation time and hospitalization time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total nursing satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).After nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The implementation of targeted nursing in artificial airway management can reduce the occurrence of adverse events,and improve psychological state.

Targeted nursingNeurosurgeryCriticalArtificial airwayAdverse eventsQuality of life

匡蕾蕾、龙然、丘焕宜

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广东三九脑科医院 广东 广州 510000

针对性护理 神经外科 危重 人工气道 不良事件 生活质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(18)