循证护理在使用气管插管进行机械通气患者有效吸痰中的应用  

The Effective Application of Evidence-based Care in Sputum Suction in Tubated Mechanically Ventilated Patients

作　　者：迟春妹 

机构地区：[1]中国航天科工集团七三一医院,北京100070

出　　处：《中外医学研究》2014年第36期81-83,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的：探索循证护理在气管插管机械通气患者有效吸痰中的应用,为减少并发症查找最佳护理途径与方法。方法：将44例人工气道机械通气患者分为对照组和研究组各22例。对照组使用常规护理模式包括口腔护理、经鼻喂养、经口腔气管插管吸痰、生命体征监测、经气道给予0.9%氯化钠5-10 ml气道滴入等进行护理;研究组以循证护理模式由循证小组成员找出护理问题,进行科学计算机检索,确立最佳证据,结合临床实践,制定科学护理计划,针对气管插管机械通气患者如何有效吸痰进行指导。比较两组患者与吸痰相关的不适症状,因护理不当造成的脱管、堵管、窒息、气管瘘等情况。结果：两组成功脱机比较差异有统计学意义（P〈0.05）;两组吸痰引起的不适比较差异有统计学意义（P〈0.05）;研究组无一例护理不当造成脱管、痰液堵塞、窒息、气管瘘。结论：循证护理证据支持后,患者各项指标明显改善,循证护理的效果显著。Objective：To explore the methods of evidence-based nursing in patients with tracheal intubation mechanical ventilation sputum suction,to reduce the complications and find the best ways of nursing.Method：44 patients with artificial airway and mechanical ventilation were divided into control group and study group with 22 cases in each group.The control group used routine nursing mode including oral care,nasal feeding,oral intubation suctioning,vital signs monitoring,the airway to give 0.9% sodium chloride 5-10 ml airway instillation etc.Study group to identify evidence-based model of care issues by evidence-based nursing team members,scientific computer searched,established best evidence,combined with clinical practice,formulated a scientific nursing care plan,to effectively guide for sputum suction with endotracheal intubation mechanical ventilation patients.The discomfort associated with suctioning and off tube,pipe blockage,asphyxia,tracheal fistula etc caused by improper care between the two group were compared.Result：The successful offline in two groups had statistics significant（P〈0.05）.And the discomfort associated with suctioning were in two groups had statistics significant（P〈0.05）.There were none detached,mucus plugging,suffocation,tracheal fistula caused by improper care in study group.Conclusion：The indicators of patients were improved obviously after evidence-based care.Evidence-based nursing effect is remarkable.

关 键 词：循证护理 机械通气 吸痰 气管插管 

分 类 号：R473.5[医药卫生—护理学]