小组系统护理干预对经皮旋转扩张气管切开术重症急救患者的应用研究  

Application of Group System Nursing Intervention in Patients With Severe Emergency Therapy by Percutaneous Rotational Expansion Tracheotomy

作　　者：孙建兰[1] 丁玉琴[2] 

机构地区：[1]江苏省连云港市第二人民医院ICU,江苏连云港222000 [2]南京中医药大学连云港附属医院预防保健处,江苏连云港222004

出　　处：《中国继续医学教育》2016年第36期159-160,共2页China Continuing Medical Education

基　　金：国家中医药管理局重点学科;南京中医药大学中医护理学开放课题(ZYHL0406-1)

摘　　要：目的探讨小组系统护理干预对经皮旋转扩张气管切开术重症急救患者的临床应用效果。方法回顾性分析我院ICU病房收治的52例重症急救患者,选取其中行经皮旋转扩张气管切开术患者30例实施小组系统护理干预,另外同类手术患者22例接受传统常规护理,对比两组患者围术期临床疗效。结果两组患者在病情平稳所需平均时间、气切局部出血量、辅助呼吸撤离时间、并发症发生率等各项指标比较,差异均具有统计学意义(P<0.05)。结论实施小组系统护理干预的经皮旋转扩张气管切开术,围手术期临床效果显著优于传统常规护理模式,护理工作质量和效率显著提高。Objective To explore the clinical effect of group system nursing intervention on percutaneous translational dilatation tracheotomy in critically ill patients. Methods 52 cases of severe emergency patients who were admitted to ICU ward in our hospital were chosen. 30 patients underwent percutaneous transluminal tracheostomy andunderwent systemic nursing intervention. 22 patients underwent routine routine nursing care. Term clinical efficacy. Results There were significant differences between the two groups in the average time required for stable disease, localized bleeding volume, assisted evacuation time and complication rate（P 〈 0.05）. Conclusion The perioperative clinical effect was significantly better than that of the conventional routine nursing model, and the quality and efficiency of nursing work were significantly improved.

关 键 词：小组护理干预 经皮旋转扩张 气管切开术 重症急救 

分 类 号：R473[医药卫生—护理学]