6W2H口渴管理对急性主动脉夹层术后气管插管口渴患者的疗效及安全性影响  

Effects of 6W2H thirst management on the efficacy and safety of patients with endotracheal intubation thirst after acute aortic dissection

作　　者：苏丽华[1] 王凯[1] SU Li-hua;WANG Kai(First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510000,China)

机构地区：[1]广州医科大学附属第一医院,广东广州510000

出　　处：《吉林医学》2022年第6期1706-1708,共3页Jilin Medical Journal

基　　金：广东省医学科研基金立项[项目编号:A2020011]。

摘　　要：目的:探讨6W2H口渴管理对急性主动脉夹层术后气管插管口渴患者的疗效及安全性影响。方法:选取2019年3月~2021年3月急性主动脉夹层术后气管插管患者60例,采用随机数字法将其分为对照组(n=30)和研究组(n=30)。对照组接受术后常规护理干预,研究组接受6W2H口渴管理护理。比较两组的口渴护理时间、气管拔管时间、住院时间,比较两组的术后清醒后口渴情况及口腔舒适度,两组的非计划拔管及并发症发生率。结果:研究组的口渴护理时间、气管拔管时间、住院时间明显短于对照组,差异有统计学意义(P<0.05);术后清醒后研究组的视觉模拟评分(VAS)评分明显低于对照组,口腔舒适度评分明显高于对照组,差异有统计学意义(P<0.05);研究组的非计划拔管发生率、并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:6W2H口渴管理应用于急性主动脉夹层术后气管插管口渴患者的效果显著,能明显改善口腔舒适度,减轻口渴症状,安全性较高,值得在临床推广。Objective To investigate the effect and safety of 6W2H thirst management on patients with tracheal intubation thirst after acute aortic dissection.Method Sixty patients with endotracheal intubation after acute aortic dissection admitted from March 2019 to March 2021 were selected.According to random number method,they were divided into control group(n=30)and study group(n=30).The control group received routine nursing intervention,and the study group received 6w2h thirst management strategy intervention.Compare the two groups of thirsty nursing time,tracheal extubation time,length of hospital stay,compare the two groups of postoperative pain,oral comfort at after waking up,and compare the incidence of unplanned extubation and complications between the two groups.Results The thirsty nursing time,tracheal extubation time and hospitalization time of the study group were significantly shorter than those of the control group(P<0.05);The visual analogue scale(VAS)score of the study group was significantly lower than that of the control group after awake,and the oral comfort score of the study group was significantly higher than that of the control group(P<0.05);The incidence of unplanned extubation and complications in the study group were significantly lower than those in the control group(P<0.05).Conclusion The application of 6W2H thirst management in patients with thirst through endotracheal intubation after acute aortic dissection has a significant effect,which can significantly improve the patient's oral comfort and relieve thirst symptoms,with high safety,and is worthy of clinical promotion.

关 键 词：6W2H口渴管理策略 急性主动脉夹层 术后气管插管 口渴 安全性 

分 类 号：R473.6[医药卫生—护理学]