精细化护理联合气道管理小组在急性呼吸窘迫综合征患者中的应用  

Application of Fine Nursing Combined with Airway Management Group in Patients with Acute Respiratory Distress Syndrome

作　　者：倪娟娟 刘兆静 钱玲玲 NI Juanjuan;LIU Zhaojing;QIAN Lingling(Intensive Care Department,The Affiliated Jiangning Hospital of Nanjing Medical University,Nanjing,Jiangsu,211100,China)

机构地区：[1]南京医科大学附属江宁医院,江苏南京211100

出　　处：《中外医疗》2024年第26期157-161,共5页China & Foreign Medical Treatment

摘　　要：目的 探究对急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)患者实施精细化护理联合气道管理小组的效果。方法 随机选取2021年1月—2023年12月南京医科大学附属江宁医院收治的80例ARDS患者为研究对象,根据不同的护理方法分为对照组(采取常规护理,40例)与观察组(采取常规加精细化护理联合气道管理小组,40例),比较两组的不良反应、生活质量、心理状态、护理满意度。结果 观察组呼吸机相关性肺炎发生率为0、气道黏膜出血率为2.50%(1/40)、再插管率5.00%(2/40)低于对照组的15.00%(6/40)、20.00%(8/40)和20.00%(8/40),差异有统计学意义(χ^(2)=4.505、4.507、4.114,P均<0.05)。干预后,观察组焦虑和抑郁量表评分低于对照组,生活质量评分高于对照组,差异有统计学意义(P均<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论 针对ARDS患者实施精细化护理联合气道管理小组,有助于降低呼吸机相关性肺炎发生率、气道黏膜出血率、再插管率,改善负面情绪,提高生活质量,患者满意度更高。Objective To explore the effect of fine nursing combined with airway management group on patients with acute respiratory distress syndrome(ARDS).Methods A total of 80 patients with ARDS admitted to The Affiliated Ji⁃angning Hospital of Nanjing Medical University from January 2021 to December 2023 were randomly selected as the research objects.According to different nursing methods,they were divided into control group(routine nursing,40 cases)and observation group(routine plus fine nursing combined with airway management group,40 cases).The ad⁃verse reactions,quality of life,psychological state and nursing satisfaction of the two groups were compared.Results The incidence of ventilator-associated pneumonia 0,airway mucosal bleeding rate 2.50%(1/40)and reintubation rate 5.00%(2/40)in the observation group were lower than those in the control group 15.00%(6/40),20.00%(8/40),20.00%(8/40),and the differences were statistically significant(χ^(2)=4.505,4.507,4.114,all P<0.05).After interven⁃tion,the scores of anxiety and depression scale in the observation group were lower than those in the control group,and the scores of quality of life were higher than those in the control group,the differences were statistically signifi⁃cant(all P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of fine nursing combined with airway management group for ARDS patients can help reduce the incidence of ventilator-associated pneumonia,airway muco⁃ sal bleeding rate, reintubation rate, improve negative emotions, improve quality of life, and improve patient satisfac⁃ tion.

关 键 词：精细化护理 气道管理小组 急性呼吸窘迫综合征 呼吸机相关性肺炎 生活质量 

分 类 号：R147[医药卫生—公共卫生与预防医学]