呼吸机自动报警装置联合风险防范对急性呼吸窘迫综合征患者的效果  

Effect of Automatic Ventilator Alarm Device Combined with Risk Prevention on Patients with Acute Respiratory Distress Syndrome

作　　者：王腊梅[1] 白斌芳 WANG Lamei;BAI Binfang(Department of Cardiology,The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院心内科,厦门361000

出　　处：《世界睡眠医学杂志》2024年第6期1386-1388,1392,共4页World Journal of Sleep Medicine

摘　　要：目的:探究临床对急性呼吸窘迫综合征(ARDS)患者护理时开展呼吸机自动报警装置联合风险防范干预对患者睡眠质量的影响。方法:选取2022年4月至2023年10月厦门大学附属第一医院收治的ARDS患者88例作为研究对象,按照随机数字表法分为对照组和观察组,每组44例。对照组患者开展常规护理,观察组患者开展呼吸机自动报警装置联合风险防范干预。针对2组睡眠质量、血气水平以及通气时间等对比。结果:对比2组干预前后睡眠质量评分,干预后观察组较对照组低,差异有统计学意义(P<0.05)。对比患者血气水平,动脉血氧分压、二氧化碳分压,干预后观察组血氧分压高于对照组,二氧化碳分压低于对照组,差异有统计学意义(P<0.05)。对比患者通气时间、谵妄发生率,观察组均较对照组低,差异有统计学意义(P<0.05)。日平均睡眠时间、夜间最长连续睡眠时间,观察组干预后长于对照组,差异有统计学意义(P<0.05)。结论:在对ARDS患者护理时开展呼吸机自动报警装置联合风险防范干预,可以提升患者睡眠质量,改善患者血气水平,降低气道阻力,缩短通气时间,降低谵妄发生率,有助于患者恢复。Objective:To explore the impact of implementing automatic ventilator alarm devices combined with risk prevention intervention on the sleep quality of patients with acute respiratory distress syndrome(ARDS)in clinical practice.Methods:From April 2022 to October 2023,88 ARDS patients in the First Affiliated Hospital of Xiamen University were selected as the subjects.They were divided into control group and observation group according to random number table method,44 cases in each group.Patients in control group received routine nursing care,and patients in observation group received combined risk prevention intervention with automatic alarm device of ventilator.Compare the sleep quality,blood gas levels,and ventilation time between two groups.Results:The sleep quality score of the two groups before and after intervention was compared,and the observation group was lower than the control group after intervention,the difference was statistically significant(P<0.05).The blood gas level,arterial blood oxygen partial pressure and carbon dioxide partial pressure of patients were compared.After intervention,the blood oxygen partial pressure of observation group was higher than that of control group,and the carbon dioxide fraction was lower than that of control group,with statistical significance(P<0.05).Compared with the patients′ventilation time and delirium incidence,the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The average daily sleep time and the longest continuous sleep time at night were longer in the observation group than in the control group after intervention,and the difference was statistically significant(P<0.05).Conclusion:The implementation of automatic ventilator alarm device combined with risk prevention intervention in the care of ARDS patients can improve their sleep quality,improve their blood gas levels,reduce airway resistance,shorten ventilation time,reduce the incidence of delirium,and help patients recover.

关 键 词：呼吸机自动报警装置 风险防范干预 ARDS患者 睡眠质量 最长连续睡眠时间 谵妄 血气水平 日平均睡眠时间 

分 类 号：R338.63[医药卫生—人体生理学] R561[医药卫生—基础医学]