基于奥马哈系统护理模式在ICU重症呼吸衰竭患者中的应用效果  

Application effect of nursing mode based on Omaha system on prognosis and complications of ICU patients with severe respiratory failure

作　　者：江卉[1] 杨金花[2] 江明媛 杨红莲 JIANG Hui;YANG Jin-hua;Jiang Ming-yuan;YANG Hong-lian(Lianhua People′s Hospital, Jiangxi Province, Lianhua 337100, China;Department of Cardiology, the Second Affiliated Hospital of Nanchang University, Jiangxi Province, Nanchang 330008, China)

机构地区：[1]江西省莲花县人民医院ICU,江西莲花337100 [2]南昌大学第二附属医院心血管内科,江西南昌330008 [3]江西省莲花县人民医院外科,江西莲花337100

出　　处：《中国当代医药》2019年第7期208-210,225,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20165241)

摘　　要：目的探讨基于奥马哈系统的护理模式对ICU重症呼吸衰竭患者中的应用效果。方法选取2016年2月～2018年5月江西省莲花县人民医院收治的70例ICU重症呼吸衰竭患者作为研究对象,随机分为对照组和观察组,每组各35例。对照组实施常规ICU护理,观察组接受基于奥巴马哈系统ICU护理模式干预。比较两组的预后、呼吸机撤机情况、总满意度和并发症发生率。结果观察组住ICU时间、住院时间、机械通气时间均短于对照组(P<0.05);观察组呼吸机一次性撤机成功率、总满意度均高于对照组(P<0.05);观察组呼吸机依赖率低于对照组(P<0.05);观察组胃肠胀气、压迫性损伤、口咽舌躁、排痰障碍等并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论采用以奥马哈系统为基础的护理模式对ICU重症呼吸衰竭患者实施护理,能有效改善患者预后和有效预防并发症的发生并提高患者满意度和呼吸机撤机成功率。Objective To investigate the application effect of Omaha system-based nursing model on the prognosis and complications of ICU patients with severe respiratory failure. Methods Seventy patients with ICU severe respiratory failure admitted to Lianhua People′s Hospital from February 2016 to May 2018 were enrolled in the study. They were randomly divided into control group and observation group, 35 cases in each group. The control group was received routine ICU nursing. The observation group was received interventions based on the ICU nursing model of Barack Obama-Harvar. Prognosis, ventilator weaning, tatal satisfaction, and rate of complications were compared between the two groups. Results The time of ICU stay, hospital stay and mechanical ventilation in the observation group were shorter than those in the control group (P<0.05). The success rate and total satisfaction of one-off ventilator withdrawal in the observation group were higher than those in the control group (P<0.05). The dependence rate of ventilator in the observation group was lower than that in the control group (P<0.05). The incidence of complications such as flatulence, compression injury, dysphoria in oropharynx and tongue, and phlegm obstruction in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05). Conclusion Using Omaha system-based care mode to care for ICU patients with severe respiratory failure can effectively improve patient prognosis and prevent complications and improve patient satisfaction and ventilator withdrawal success rate.

关 键 词：奥马哈系统 ICU重症呼吸衰竭 预后 并发症 

分 类 号：R473[医药卫生—护理学]