基于循证理论的集束化气道护理结合负压吸痰对气管插管患者排痰情况及血气分析指标的影响  

Effects of cluster airway nursing based on evidence-based theory combined with negative pressure sputum suction on sputum excretion and blood gas analysis indexes in patients with tracheal intubation

作　　者：史俊平 SHI Junping(Zhumadian TCM Hospital,Zhumadian 463002,China)

机构地区：[1]驻马店市中医院,河南驻马店463002

出　　处：《临床医学研究与实践》2024年第17期169-172,共4页Clinical Research and Practice

摘　　要：目的探讨基于循证理论的集束化气道护理结合负压吸痰对气管插管患者排痰情况及血气分析指标的影响。方法选取2020年10月至2022年10月我院收治的85例气管插管患者为研究对象,将其随机分为对照组(42例)和观察组(43例)。对照组给予常规护理,观察组在常规护理基础上采取基于循证理论的集束化气道护理结合负压吸痰。比较两组的干预效果。结果观察组的气道相关并发症总发生率低于对照组(P<0.05)。观察组的排痰量多于对照组,痰液黏稠度Ⅰ度占比高于对照组,痰液黏稠度Ⅲ度占比低于对照组(P<0.05)。干预后,观察组的动脉血氧分压(PaO_(2))、pH值高于对照组,动脉血二氧化碳分压(PaCO_(2))低于对照组(P<0.05)。观察组的不良事件总发生率低于对照组(P<0.05)。观察组的护理满意度高于对照组(P<0.05)。结论基于循证理论的集束化气道护理结合负压吸痰能减少气管插管患者气道相关并发症,提高排痰效果,降低痰液黏稠度,改善血气分析指标,降低不良事件发生率,提高护理满意度。Objective To explore the effects of cluster airway nursing based on evidence-based theory combined with negative pressure sputum suction on sputum excretion and blood gas analysis indexes in patients with tracheal intubation.Methods A total of 85 patients with tracheal intubation admitted in our hospital from October 2020 to October 2022 were selected as the study objects and randomly divided into control group(42 cases)and observation group(43 cases).The control group was given routine nursing,and the observation group was given cluster airway nursing based on evidence-based theory combined with negative pressure sputum suction on the basis of routine nursing.The intervention effects of the two groups were compared.Results The total incidence of airway-related complications in the observation group was lower than that in the control group(P<0.05).The sputum volume of the observation group was more than that of the control group,the proportion of sputum viscosityⅠdegree was higher than that of the control group,and the proportion of sputum viscosity Ⅲ degree was lower than that of the control group(P<0.05).After intervention,the arterial partial pressure of oxygen(PaO_(2))and pH value in the observation group were higher than those in the control group,and the arterial partial pressure of carbon dioxide(PaCO_(2))was lower than that in the control group(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion Cluster airway nursing based on evidence-based theory combined with negative pressure sputum suction can reduce airway-related complications in patients with tracheal intubation,ameliorate sputum excretion effect,reduce sputum viscosity,improve blood gas analysis indexes,decrease the incidence of adverse events,and elevate nursing satisfaction.

关 键 词：循证理论 集束化气道护理 负压吸痰 气管插管 排痰情况 血气分析指标 

分 类 号：R473[医药卫生—护理学]