ICU护士关于神经肌肉阻断剂的使用知识对呼吸窘迫综合征患者的影响  

The impact of ICU nurses’knowledge about the use of neuromuscular blocking agents on patients with respiratory distress syndrome

作　　者：刘亚林[1] LIU Yalin(Department of Critical Care Medicine,Second Affiliated Hospital of Shenyang Medical College(Huanggu District),Shenyang,Liaoning,110031,China)

机构地区：[1]沈阳医学院附属第二医院(皇姑院区)重症医学科,辽宁沈阳110031

出　　处：《当代医学》2021年第6期10-14,共5页Contemporary Medicine

摘　　要：目的探究ICU护士的神经肌肉阻断剂(NMBAs)知识水平对减轻ARDS患者的病情程度、预后生活质量及临床护理满意度的影响。方法通过对4个ICU中心进行问卷调查,确定NMBAs的8个主要问题后对本院护理人员进行针对性的问卷调查,根据调查结果将护理人员分为NMBAs知识水平较高的观察组(n=26)和知识水平较低的对照组(n=20),比较2012年6月至2014年12月两组收治的ARDS患者(观察组30例,对照组20例)的血气分析指标、APACHEⅡ评分、患者出院前生活质量及对临床护理满意度情况。结果观察组ARDS患者的PaO2显著升高至(59.00±4.86)mmHg,PCO2显著降低至(33.75±5.10)mmHg,差异有统计学意义(P<0.05),APACHEⅡ评分显著降低至(12.82±2.74)分,对照组上述指标及评分变化均不明显;观察组ARSD患者的生活质量评估中各项分值均显著提高(P<0.05),整体生活质量达(79.29±16.30)%,较对照组提高近14%;观察组对临床护理的满意度也由护理前的(63.12±16.48)%显著提高至(95.81±3.11)%,且高于对照组的(86.37±11.08)%,差异有统计学意义(P<0.05)。结论ICU护理人员关于NMBAs的药物属性,作用持续时间及不良反应的认识及应用能一定程度上减轻患者病情,提高患者预后生活质量,改善临床护理满意度,对于临床工作者具有重要的指导意义。Objective To explore the impact of ICU nurses’knowledge of neuromuscular blocking(NMBAs)on reducing the severity of the disease,prognostic quality of life and clinical nursing satisfaction in patients with ARDS.Methods Through the questionnaire survey of 4 ICU centers,the 8 main problems of NMBAs were determined,and then a targeted questionnaire survey was conducted on the nursing staff of the hospital.According to the results of the survey,nurses were divided into the observation group(n=26)with higher level of knowledge of NMBAs and the control group with lower level of knowledge(n=20).And analyzed the blood gas analysis indexes,APACHEⅡscore,the quality of life of the patients before discharge from the hospital,and the satisfaction with clinical care of the ARDS patients admitted to the two groups from June 2012 to December2014.Results PaO2 of patients in the observation group was significantly increased to(59.00±4.86)mmHg,and PCO2 was significantly reduced to(33.75±5.10)mmHg,the difference was statistically significant(P<0.05);APACHEⅡscore was significantly reduced to(12.82±2.74)scores,the above indicators and scores of the control group did not change significantly;the scores of the patients in the observation group were significantly improved(P<0.05),and the overall quality of life reached(79.29±16.30)%,which was nearly 14%higher than the control group;the satisfaction of clinical nursing in the observation group was significantly increased from(63.12±16.48)%before nursing to(95.81±3.11)%,which was higher than(86.37±11.08)%in the control group,and the difference was statistically significant(P<0.05).Conclusion The knowledge and application of ICU nurses about the drug properties,duration of action and adverse reactions of NMBAs can reduce the patient’s condition to a certain extent,improve the patient’s prognostic quality of life,and improve clinical nursing satisfaction,which has important guiding significance for clinical workers.

关 键 词：ICU 神经肌肉阻断剂 呼吸窘迫综合征 

分 类 号：R473.5[医药卫生—护理学]