重症监护室人工气道患者的集束化护理  

Cluster nursing of artificial airway patients in intensive care unit

作　　者：姜爱玉[1] 王萍[1] 陶菁[1] 

机构地区：[1]浙江医院重症监护室,浙江省杭州310013

出　　处：《中国基层医药》2017年第16期2442-2444,共3页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省杭州市卫生科技计划项目（2014A47）

摘　　要：摘要： 目的总结重症监护室人工气道患者的护理经验.方法选择重症监护室人工气道患者126例,采用随机数字表法分为观察组69例、对照组57例,对照组采取传统的护理方法,观察组则采用集束化护理方法.对两组重症监护室人工气道患者的住院时间、留管时间、意外脱管及呼吸机相关性肺炎发生、患者满意度等情况进行评估.结果观察组住院时间（7.47±1.35）d,拔管时间（4.16±0.89）d,意外脱管4例（5.80%）,呼吸机相关性肺炎发生6例（8.70%）;对照组住院时间（14.06±2.39）d,留管时间（9.64±2.34）d,意外脱管9例（15.79%）,呼吸机相关肺炎发生15例（26.32%）.观察组住院时间、留管时间、意外脱管及呼吸机相关性肺炎发生率均低于对照组,差异均有统计学意义（t=4.785、5.312,x2=4.991、5.471,均P〈0.05）.集束化护理的观察组患者满意度明显高于仅采取传统护理方法的对照组,两组间差异有统计学意义（P〈0.05）.结论集束化护理方式下能够明显降低重症监护室人工气道患者的住院时间、拔管时间,减少意外脱管及呼吸机相关性肺炎的发生,同时能够提高患者满意度,促进患者病情恢复.Objective To summarize the nursing experience of patients with artificial airway in intensive care unit（ICU）.Methods 126 patients with artificial airway in ICU were collected,by using the digital table method,the patients were randomly divided into observation group（69 cases）and control group（57 cases）.The control group was only given traditional nursing method,the observation group was given cluster nursing.The hospital time,indwelling time,unplanned extubation,ventilator associated pneumonia and the patients＇ satisfaction were assessed.Results After treatment,the hospital time,indwelling time,unplanned extubation,ventilator associated pneumonia of the observation group were（7.47±1.35）days,（4.16±0.89）days,four cases（5.80%）,six cases（8.70%）,respectively,which of the control group were（14.06±2.39）days,（9.64±2.34）days,nine cases（15.79%）,fifteen cases（26.32%）,respectivelywhich was lower than those of the control group [（14.06±2.39）days,（9.64±2.34）days,nine cases（15.79%）,fifteen cases（26.32%）].The hospital time,indwelling time,the incidence rate of unplanned extubation and ventilator associated pneumonia of the observation group were shorter or lower than those of the control group（t=4.785,5.312,x2=4.991,5.471,all P〈0.05）.The satisfaction of the observation group was higher than that of the control group,the difference between the two groups was statistically significant（P〈0.05）.Conclusion Cluster nursing can significantly reduce the length of stay in hospital,extubation time,and reduce the incidence of accidental extubation and ventilator associated pneumonia.At the same time,psychological nursing can improve the satisfaction of patients and promote the recovery of patients.

关 键 词：重症监护病房 气道管理 护理 

分 类 号：R472.2[医药卫生—急诊医学]