安全管理在危重症患者人工气道护理中的应用  

Application of safety management in artificial airway nursing for critically ill patients

作　　者：赵熳 周璇 ZHAO Man;ZHOU Xuan(Department of Intensive Care,Gaotang County People's Hospital,Liaocheng Shandong Province 252800,China;Department of Second General Surgery,Gaotang County People's Hospita)

机构地区：[1]高唐县人民医院重症医学科,山东聊城252800 [2]高唐县人民医院普外二科

出　　处：《中国城乡企业卫生》2024年第3期194-196,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的观察安全管理在危重症患者人工气道护理中的应用效果,为提升护理效果提供参考。方法选取2019年11月-2020年11月高唐县人民医院收治的危重症患者68例为研究对象,通过奇偶法分为对照组和观察组各34例对照组采取基础护理对人工气道进行干预,观察组采取安全管理对人工气道进行干预。比较两组护理质量评分、意外脱管率及气道堵塞率。结果观察组患者的护理质量评分为(79.65±4.98)分,高于对照组的(61.53±4.28)分,差异有统计学意义(t=16.0903P<0.05)。观察组意外脱管率为2.94%、气道堵塞率为2.94%,均低于对照组的35.29%、26.47%,差异均有统计学意义(P<0.05)。结论安全管理在危重症患者人工气道护理中的应用效果明显,提升了护理质量,降低了不良事件的发生,保障了疾病的康复效果,值得临床推广应用。Objective To observe the application effect of safety management in artificial airway nursing for critically ill patients,in order to provide reference for improving nursing effectiveness.Methods A total of 68 critically ill patients admitted to Gaotang County People's Hospital from November 2019 to November 2020 were selected as the research subjects.They were divided into control group and observation group,with 34 cases in each group,using the parity method.The control group received basic nursing intervention on the artificial airway,while the observation group received safety management intervention on the artificial airway.The nursing quality score,accidental tube removal rate and airway blockage rate between two groups were compared.Results The nursing quality score of the observation group patients was(79.65±4.98)points,which was higher than the control group's(61.53±4.28)points,and the difference was statistically significant(t=16.0903,P<0.05).The incidences of accidental tube removal and airway obstruction in the observation group were 2.94%and 2.94%,which were both lower than the control group's 35.29%and 26.47%,and the differences were statistically significant(P<0.05).Conclusion The application of safety management in artificial airway nursing for critically ll patients had shown significant results,improving nursing quality,reducing the occurrence of adverse events,and ensuring the rehabilitation effect of the disease.It was worthy of clinical promotion and application.

关 键 词：安全管理 危重症患者 人工气道护理 

分 类 号：R4[医药卫生—临床医学]