呼吸机支持通气患者护理信息管理系统的设计与实践研究  

Design and practice of nursing information management system for patients with ventilator support ventilation

作　　者：杨兴菊 孙燕 孙霞 Yang Xingju;Sun Yan;Sun Xia(Nursing Department,Jinan City People's Hospital,Jinan,Shandong 250011;Department of Gynecology,Jinan People's Hospital,Jinan 250011,Shandong,China;School of nursing,Shandong First Medical University,Taian 271016,China)

机构地区：[1]济南市人民医院护理部,山东济南250011 [2]济南市人民医院妇科,山东济南250011 [3]山东省第一医科大学护理学院,山东泰安271016

出　　处：《现代科学仪器》2021年第4期40-45,共6页Modern Scientific Instruments

摘　　要：目的:设计呼吸机支持通气患者信息护理管理系统,并探讨其临床实践效果。方法:选取204例呼吸机支持通气患者作为受试者,按照随机数字表分组。常规组包含102例,实施常规护理;研究组包含102例,在常规护理的基础上,对其设计并应用护理信息管理系统。对比护理期间并发症发生率、非计划性拔管发生率、撤机成功率和死亡率,存活患者护理前后的舒适度评价结果,存活患者对护理服务的评价。结果:研究组护理期间口腔感染、呼吸机相关性肺炎、压疮发生率、非计划性拔管发生率和死亡率均低于常规组(P<0.05),撤机成功率高于常规组(P<0.05);2组存活患者护理后心理、社会、环境、生理维度舒适度评分均升高(P<0.05),且研究组存活患者护理后上述维度舒适度评分明显高于常规组(P<0.05);研究组存活患者对护理服务的评价与常规组等级比较差异显著(P<0.05),且研究组优良率高于常规组(P<0.05)。结论:对呼吸机支持通气患者应用护理信息管理系统可减少并发症和非计划性拔管,提高撤机成功率,降低死亡率,并且还可改善其住院期间对各方面的舒适度感受和对护理服务的评价。Objective:To design information nursing management system for patients with ventilator support ventilation and explore its clinical effect.Methods:204 patients with ventilator support ventilation were selected as subjects and divided into groups by a random digital table.The routine group consisted of 102 cases and received routine nursing.The study group consisted of 102 cases.On the basis of routine nursing,the nursing information management system was designed and applied.The incidence of complications,unplanned extubation,weaning success rates and mortality rates during nursing,the comfort evaluation results before and after nursing,and the evaluation of nursing service by surviving patients were compared.Results:The incidence of oral infection,ventilator-associated pneumonia,pressure sore,unplanned extubation and mortality in the study group were lower than those in the routine group(P<0.05).The successful rate of weaning was higher than that of routine group(P<0.05).The comfort scores of psychological,social,environmental and physiological dimensions of survivors in both groups increased after nursing(P<0.05),and the comfort scores of survivors in the study group were significantly higher than those in the routine group(P<0.05).There was a significant difference in the evaluation of nursing service between the survival patients in the study group and the routine group(P<0.05),and the excellent and good rate in the study group was higher than that in the routine group(P<0.05).Conclusion:The continuous nursing model can effectively prevent the quality of life of breast cancer patients after surgery,but also can significantly improve the prognosis.

关 键 词：呼吸机支持通气 护理信息管理系统 设计 实践效果 

分 类 号：R563.8[医药卫生—呼吸系统]