基于达标理论指导的分级气道湿化干预对脑卒中气管切开术后患者的效果  

Effect of Graded Airway Humidification Intervention Based on Compliance Theory on Stroke Patients After Tracheotomy

作　　者：庞海燕[1] 邵春梅[1] 王春玉[1] 石红英[1] 刘桂花[1] 徐昊 夏博 李燕[1] PANG Haiyan;SHAO Chunmei;WANG Chunyu;SHI Hongying;LIU Guihua;XU Hao;XIA Bo;LI Yan(Department of Internal Medicine,the First People’s Hospital of Shangqiu,Shangqiu 476100,China)

机构地区：[1]商丘市第一人民医院内科,河南商丘476100

出　　处：《河南医学研究》2023年第21期4023-4026,共4页Henan Medical Research

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20210986)。

摘　　要：目的探讨基于达标理论指导的分级气道湿化干预对脑卒中气管切开术后患者的效果。方法前瞻性研究,依据随机法将商丘市第一人民医院2020年1月至2021年8月收治的96例脑卒中患者分为观察组(48例)和对照组(48例)。所有患者均接受气管切开术,术后对照组接受常规气道湿化护理,观察组在对照组基础上接受基于达标理论指导的分级气道湿化护理,持续干预至患者恢复自主呼吸。比较两组气道湿化满意例数、血气指标、气道并发症及护理满意度。结果观察组气道湿化满意率高于对照组(P<0.05);干预后,两组动脉血氧分压(PaO_(2))、动脉血氧饱和度(SaO_(2))较干预前升高,动脉血二氧化碳分压(PaCO_(2))较干预前降低,且观察组PaO_(2)、SaO_(2)高于对照组,PaCO_(2)低于对照组(P<0.05);观察组气道并发症发生率低于对照组,护理满意度高于对照组(P<0.05)。结论基于达标理论指导的分级气道湿化护理可提高脑卒中气管切开术后患者的气道湿化满意度,改善患者血气指标,减少气道并发症的发生率,提高患者护理满意度。Objective To explore the effect of graded airway humidification intervention based on compliance theory on stroke patients after tracheotomy.Methods A prospective study was conducted,and 96 stroke patients admitted to the First People’s Hospital of Shangqiu from January 2020 to August 2021 were divided into observation group(48 cases)and control group(48 cases)based on randomization.All patients underwent tracheotomy,and the control group received routine airway humidification nursing intervention after surgery.The observation group received graded airway humidification nursing intervention based on theoretical guidance of the control group,and the intervene continued until the patient regained autonomous breathing.The number of satisfactory cases of airway humidification,blood gas indicators,airway complications and nursing satisfaction were compared between the two groups.Results The number of satisfactory cases of airway humidification in the observation group was higher than that in the control group(P<0.05).After intervention,the partial pressure of oxygen in arterial blood(PaO_(2))and oxygen saturation in arterial blood(SaO_(2))of the two groups increased compared to before intervention,while the partial pressure of carbon dioxide in arterial blood(PaCO_(2))decreased,and the observation group had higher PaO_(2)and SaO_(2)than the control group,while PaCO_(2)was lower than the control group(P<0.05).The incidence of airway complications in the observation group was lower than that in the control group,and nursing satisfaction was higher than that in the control group(P<0.05).Conclusion The graded airway humidification nursing based on compliance theory can improve the satisfaction of stroke patients with airway humidification after tracheotomy,improve their blood gas indicators,reduce the incidence of airway complications,and increase patient nursing satisfaction.

关 键 词：脑卒中 气管切开术 达标理论 分级气道湿化护理 

分 类 号：R473.5[医药卫生—护理学]