全方位协同护理联合密闭式气管吸痰在行人工气道有创通气患者中的应用  

Application of Comprehensive Collaborative Nursing Combined with Closed Tracheal Sputum Aspiration in Patients with Artificial Airway Invasive Ventilation

作　　者：李红霞[1] 谭泽山 陈睿[1] Li Hongxia;Tan Zeshan;Chen Rui(Department of ICU,Guangzhou Chest Hospital,Guangzhou Guangdong 510095,China)

机构地区：[1]广州市胸科医院ICU科,广东广州510095

出　　处：《生命科学仪器》2024年第5期232-234,共3页Life Science Instruments

摘　　要：目的 探讨全方位协同护理联合密闭式气管内吸痰在行人工气道有创通气患者中的应用效果。方法 前瞻性纳入2022年1月至2022年12月期间于广州市胸科医院行人工气道有创通气患者130例,采用随机抽签法分为对照组和试验组,每组65例。两组均行密闭式气管内吸痰,对照组采用常规护理干预,试验组采用全方位协同护理。比较两组干预前后吸痰并发症发生率及护理满意度。结果 试验组吸痰后气道黏膜损伤、刺激性咳嗽、呼吸机相关性肺炎发生率均显著低于对照组,P<0.05;两组吸痰后低氧血症和心律失常发生率对比,P>0.05。试验组护理总满意度为93.85%,显著高于对照组的73.85%,P<0.05。结论 全方位协同护理联合密闭式气管内吸痰用于行人工气道有创通气患者可有效降低吸痰相关并发症发生率,改善护理满意度。Objective:To explore the application effect of comprehensive collaborative nursing combined with closed endotracheal sputum aspiration in patients with artificial airway invasive ventilation.Methods:A total of 130 patients receiving invasive artificial airway ventilation in Guangzhou Chest Hospital from January 2022 to December 2022 were prospectively included and divided into control group and experimental group by random drawing method,with 65 cases in each group.The two groups were treated with closed endotracheal sputum aspiration.The control group was treated with routine nursing intervention,and the experimental group was treated with comprehensive collaborative nursing.The incidence of sputum aspiration complications and total nursing satisfaction were compared between the two groups before and after intervention.Results:The incidence of airway mucosal injury,irritating cough and ventilator-associated pneumonia in the experimental group was significantly lower than that in the control group,P<0.05.The incidence of hypoxemia and arrhythmia after sputum aspiration was compared between the two groups,P>0.05.The total nursing satisfaction of the experimental group was 93.85%,which was significantly higher than that of the control group 73.85%,P<0.05.Conclusion:Comprehensive collaborative nursing combined with closed endotracheal sputum aspiration can effectively reduce the complications related to sputum aspiration and improve nursing satisfaction in patients undergoing artificial airway invasive ventilation.

关 键 词：全方位协同护理 吸痰 人工气道 有创通气 呼吸机相关性肺炎 

分 类 号：R473.5[医药卫生—护理学]