小潮气量通气联合肺复张策略治疗呼吸窘迫综合征患者的循证护理  

Evidence-based nursing in low tidal volume joint lung recruitment strategy in the treatment of respiratory distress syndrome

作　　者：刘丹[1] 陈艳[1] 高琼[1] 

机构地区：[1]湖北医药学院附属太和医院呼吸内科,湖北十堰442000

出　　处：《中国医药导报》2013年第16期142-144,148,共4页China Medical Herald

摘　　要：目的探讨循证护理应用于小潮气量联用肺复张策略治疗呼吸窘迫综合征患者的效果。方法纳入湖北医药学院附属太和医院收治的72例呼吸窘迫综合征患者,将其随机分为常规护理组和循证护理组,每组各36例。评判两组患者精神状态、生活质量、疗效和护理质量。结果与常规护理组相比,循证护理组入院1周后汉密尔顿焦虑量表(HAMA)评分、疾病不确定感量表(MUIS)评分、简明健康状况问卷(SF-36)评分、氧合指数、气道平台压、平均住院天数、并发症发生率、护理质量满意度等指标均优于常规护理组,差异均有统计学意义(均P<0.05)。结论呼吸窘迫综合征患者行小潮气量联用肺复张策略时,应用循证护理模式效果显著,值得推广。Objective To investigate the effect of evidence-based nursing used in low tidal volume joint lung recruit- ment strategy treatment of respiratory distress syndrome. Methods 72 cases of respiratory distress syndrome patients were included and divided into the usual care group, evidence-based care group randomly. To judge them god status, quality of life, efficacy and quality of care. Results Compared with the usual care group, there were significant differ- ences in HAMA score, MUIS score, SF-36 score, oxygenation, airway pressure, the average of hospitalization time, complication rates, quality of care satisfaction （P 〈 0.05）, which evidence-based care group was better than the usual care group admitted to hospital a week later. Conclusion The effect is significant in the application of evidence-based care model with low tidal volume associated with lung recruitment strategy to treat patients of respiratory distress syn- drome. Worthy of promotion.

关 键 词：循证护理 急性呼吸窘迫综合征 小潮气量 肺复张策略 

分 类 号：R473[医药卫生—护理学]