以护士为主导的针对性护理在改善患者人工气道痰液堵塞的应用探讨  

Investigation on the Application of Nurse-led Targeted Nursing in Improving Patients Artificial Airway Sputum Blockage

作　　者：魏艾 曾毓 许敏娟 沈观乐 庞倩 WEI Ai;ZENG Yu;XU Minjuan;SHEN Guanle;PANG Qian(People’s Hospital of Longhua District of Shenzhen City,Shenzhen 518019,China)

机构地区：[1]深圳市龙华区人民医院

出　　处：《中外医学研究》2020年第2期98-100,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：深圳市龙华区科技创新局项目(项目编号：2017073)

摘　　要：目的:探究以护士为主导的针对性护理在改善患者人工气道痰液堵塞的应用.方法:选取笔者所在医院收治的建立人工气道的患者100例为研究对象,选取时间为2018年1-12月,将其随机分为观察组和试验组,每组50例.观察组实施常规气道护理,试验组在常规气道护理的基础上实施以护士为主导的针对性护理.观察两组患者护理前及护理后3个月人工气道内痰液残留情况、二次及二次以上插管情况及护理满意度.结果:护理后,两组患者人工气道痰液残留评分均较护理前有所下降,且试验组明显低于观察组,差异有统计学意义(P<0.05).试验组二次插管率明显低于观察组,差异有统计学意义(P<0.05).两组二次以上插管率比较,差异无统计学意义(P>0.05).护理后,试验组护理总满意度明显高于观察组,差异有统计学意义(P<0.05).结论:以护士为主导的针对性护理在改善患者人工气道痰液堵塞的应用效果较好,可以帮助减少人工气管内的痰液残留,降低管腔堵塞,促进气管吸痰顺畅,提高患者护理满意度.Objective:To explore the application of nurse-led targeted nursing in improving patients’artificial airway sputum blockage.Method:A total of 100 patients with artificial airway admitted in our hospital from January to December 2018 were selected as the research objects,and the patients were randomly divided into the observation group and the experimental group,with 50 patients in each group.The observation group received routine airway nursing,while the experimental group received nurses-led targeted nursing on the basis of routine airway nursing.The sputum residual in artificial airway,secondary intubation and more than secondary intubation before nursing and after 3 months nursing,and the nursing satisfaction of the two groups were observed.Result:After nursing,the score of sputum residual in artificial airway in both groups decreased compared with that before nursing,and the experimental group was significantly lower than the observation group,the difference was statistically significant(P<0.05).The secondary intubation rate in the experimental group was significantly lower than that in the observation group,the difference was statistically significant(P<0.05).There was no significant difference in more than secondary intubation rate between the two groups(P>0.05).After nursing,the total nursing satisfaction in the experimental group was significantly higher than that in the observation group,and the difference was statistically significant(P<0.05).Conclusion:The application effect of nurse-led targeted nursing in the improvement of patients’artificial airway sputum blockage is better,which can help to reduce the sputum residual in artificial airway,reduce tube blockage,promote smooth tracheal sputum suction and improve patients'nursing satisfaction.

关 键 词：针对性护理 人工气道痰液堵塞 应用效果 

分 类 号：R473[医药卫生—护理学]