重症脑血管病患者早期气管切开的护理关键要素探究  

Study on Key Factors of Nursing for Early Tracheotomy in Patients with Severe Cerebrovascular Disease

作　　者：王延珍 张铭新 程玉花 WANG Yanzhen;ZHANG Mingxin;CHENG Yuhua(Department of Critical Care Medicine,Jiyang District Hospital of Traditional Chinese Medicine,Jinan,Shandong Province,251400 China;Department of Orthopedics,Jiyang District Hospital of Traditional Chinese Medicine,Jinan,Shandong Province,251400 China;Department of Gastroscopy Room,Jiyang District Hospital of Traditional Chinese Medicine,Jinan,Shandong Province,251400 China)

机构地区：[1]济南市济阳区中医医院重症医学科,山东济南251400 [2]济南市济阳区中医医院骨科,山东济南251400 [3]济南市济阳区中医医院胃镜室,山东济南251400

出　　处：《中外医疗》2024年第15期128-131,共4页China & Foreign Medical Treatment

摘　　要：目的 分析重症脑血管病患者在针对早期气管切开时的护理要素。方法 本研究便利选取2021年10月—2023年5月济南市济阳区中医院收治的91例行早期气管切开的重症脑血管病患者为研究对象。依据护理方法分为两组,对照组(n=45)采用常规护理模式,观察组(n=46)采用综合护理模式,比较两组患者的生活质量、并发症发生情况和护理满意度。结果 护理前,两组患者生活质量评分比较,差异无统计学意义(P>0.05);护理后,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4.35%,低于对照组的20.00%,差异有统计学意义(χ^(2)=5.244,P<0.05)。观察组护理总满意度为97.83%,高于对照组的82.22%,差异有统计学意义(χ^(2)=4.587,P<0.05)。结论 针对重症脑血管病患者早期气管切开时采用综合护理可以提高患者的生活质量,减少患者并发症发生,进一步提高患者的满意度。Objective To analyze the nursing factors of patients with severe cerebrovascular disease during early tra⁃cheotomy.Methods This study conveniently selected 91 patients with severe cerebrovascular disease who underwent early tracheotomy in Jiyang District Hospital of Traditional Chinese Medicine of Jinan City from October 2021 to May 2023 as the study object.According to the nursing method,they were divided into two groups:control group(n=45)ad⁃opted conventional nursing mode,observation group(n=46)adopted comprehensive nursing mode.The quality of life,complications and nursing satisfaction were compared between the two groups.Results Before nursing,there was no statistically significant difference in quality of life scores between the two groups(P>0.05).After nursing,the quality of life score of observation group was higher than that of control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 4.35%,which was lower than that in the control group(20.00%),and the difference was statistically significant(χ^(2)=5.244,P<0.05).Total nursing satisfaction in the ob⁃servation group was 97.83%,which was higher than that in the control group(82.22%),and the difference was statisti⁃cally significant(χ^(2)=4.587,P<0.05).Conclusion Comprehensive nursing in early tracheotomy for patients with severe cerebrovascular disease can improve the quality of life of patients, reduce the occurrence of complications, and further improve the satisfaction of patients.

关 键 词：重症脑血管病 早期气管切开 生活质量 并发症 护理满意度 

分 类 号：R473.74[医药卫生—护理学]