单侧鼻导管吸氧插入不同长度对患者舒适度的影响  

Effect of different lengths of unilateral nasal tube insertion on patient comfort

作　　者：张洲 李华[1] 蒋露 王亚莉[1] 李明悦 李悦 宋亭 汤琴 杨翕 Zhang Zhou;Li Hua;Jiang Lu;Wang Yali;Li Mingyue;Li Yue;Song Ting;Tang Qin;Yang Xi(The Affiliated Hospital of North Sichuan Medical College,Nanchong Sichuan 637000,China)

机构地区：[1]川北医学院附属医院,四川南充637000

出　　处：《保健医学研究与实践》2022年第7期98-100,共3页Health Medicine Research and Practice

基　　金：南充市科技局市校合作科研项目(19SXHZ0372)。

摘　　要：目的探讨单侧鼻导管插入不同长度对患者舒适度的影响。方法选取2020年12月—2021年1月在南充市某医院胸心外科进行手术的99例患者为研究对象。对同一患者分别插入鼻导管2、3、4、5、7、10 cm,并进行2 h氧疗(氧疗过程中要询问患者是否耐受,若极不耐受,则需取出鼻导管,并记录不耐受原因)。在插入鼻导管前、取出鼻导管前测量患者心率、血压、血氧饱和度。采用自制舒适度评分量表评估患者插入鼻导管前、取出鼻导管前的舒适度。结果插入鼻导管前、取出鼻导管前患者心率、收缩压、舒张压比较,差异无统计学意义(P>0.05)。插入鼻导管前患者舒适度评分高于取出鼻导管前,差异有统计学意义(P<0.05)。插入鼻导管前、取出鼻导管前舒适度评分与性别、年龄、血氧饱和度、心率、血压无相关性(P>0.05)。插入鼻导管前、取出鼻导管前舒适度评分与鼻导管长度呈负相关关系(P<0.05)。插入鼻导管2、3 cm前后,患者舒适度评分比较,差异无统计学意义(P>0.05)。插入鼻导管4、5、7、10 cm后,患者舒适度评分低于插入鼻导管前,差异均有统计学意义(P<0.05)。插入鼻导管2、3 cm均没有发生不耐受的现象。插入鼻导管10 cm后患者出现不耐受比例均高于插入鼻导管2、3、4、5、7 cm后患者出现不耐受比例,差异均有统计学意义(P<0.05)。结论鼻导管插入长度与舒适度呈负相关关系,鼻导管插入长度为2~3 cm时,患者的舒适度较高,建议临床医务人员对术后清醒患者进行单侧鼻导管氧疗时,在不影响治疗效果的前提下,将鼻导管插入鼻腔2~3 cm,以提高患者的舒适度。Objective To investigate the effect of different lengths of unilateral nasal tube insertion on patient comfort.Methods A total of 99 patients who underwent cardiothoracic surgery in a hospital in Nanchong from December 2020 to January 2021 were selected as the study subjects.Subjects were intubated with an nasal tube at a length of 2,3,4,5,7,and 10 cm,respectively,and oxygen therapy was performed for 2 h(During oxygen therapy,an inquiry should be conducted to see whether the patient could tolerate it.If it was very intolerable,the nasal tube needed to be removed and the reasons for intolerance recorded).Heart rate,blood pressure,and saturation were measured before insertion and before removal of the nasal tube.A self-made comfort score scale was used to assess the patient’s comfort before insertion and removal of the tube.Results There was no significant difference in heart rate,systolic blood pressure,and diastolic blood pressure before insertion and removal of the nasal tube(P>0.05).The saturation and comfort scores of patients before insertion of nasal tube were higher than those before removal of nasal tube,and the differences were statistically significant(P<0.05).There was no correlation between gender,age,saturation,heart rate,blood and comfort score before insertion of nasal tube and removal of nasal tube(P>0.05).There was a negative correlation between the length of the nasal tube and comfort scores before insertion and removal of the oxygen tube(P<0.05).There was no significant difference in patient comfort scores before and after the insertion of nasal tubes at 2 and 3 cm(P>0.05).The patient comfort score was lower than that before insertion of the nasal tube after insertion of the nasal tube at 4,5,7,and 10 cm,and the differences were statistically significant(P<0.05).No intolerance was observed after insertion of the nasal tube at 2 or 3 cm.The proportion of intolerance in patients after insertion of nasal tube at 10 cm was higher than that in patients after insertion of nasal tubes at 2,3,4,5,and

关 键 词：单侧吸氧管 鼻导管 氧疗 舒适度 

分 类 号：R45[医药卫生—治疗学]