综合性气道护理在HICH术后机械通气患者中的应用  

Application of Comprehensive Airway Nursing in Patients with Mechanical Ventilation After Hypertensive Cerebral Hemorrhage

作　　者：李翠霞 齐秋茹 李畅 张卫杰 Li Cuixia;Qi Qiuru;Li Chang(Zhengzhou Third People’s Hospital Zhengzhou,Henan,450000,China)

机构地区：[1]郑州市第三人民医院,河南郑州450000

出　　处：《黑龙江医学》2025年第5期626-628,共3页Heilongjiang Medical Journal

基　　金：2022年年度郑州市科技计划发展项目(22009018)。

摘　　要：目的:探讨综合性气道护理管理在高血压性脑出血(HICH)患者中的应用效果。方法:选取2022年2月—2024年2月郑州市第三人民医院收治的96例HICH患者作为研究对象,采用随机数表法将其分为对照组(n=48)和观察组(n=48)。对照组采用常规护理,观察组采用综合性气道护理管理。比较两组患者护理前后不良事件发生情况,舒适性情况,机械通气、ICU停留时间情况,生活质量水平及护理满意度情况。结果:观察组患者不良事件发生率低于对照组,差异有统计学意义(χ^(2)=4.019,P<0.05)。护理后,观察组患者舒适状况量表(GCQ)评分高于对照组,差异均有统计学意义(t=8.414、11.208、10.891、9.024,P<0.05);观察组患者机械通气、ICU停留时间短于对照组,差异均有统计学意义(t=11.021、7.876,P<0.05);观察组患者健康调查质量表(SF-36)评分高于对照组,差异均有统计学意义(t=6.401、5.082、5.851、7.003、6.071、4.697、4.982、4.959,P<0.05);观察组患者护理满意度评分高于对照组,差异均有统计学意义(t=6.217、6.278、5.725、5.288、5.199、3.465、3.960、4.400,P<0.05)。结论:综合性气道护理管理可降低HICH患者不良事件发生风险,有效提升患者舒适性,缩短机械通气时间,促进患者生活质量水平提高并早日恢复健康,故患者更加满意护理服务。Objective:To study the effectiveness of comprehensive airway care management in patients with hypertensive intracerebral hemorrhage(HICH).Methods:96 HICH patients admitted to the hospital were divided into two groups,and the cases were selected from February 2022 to February 2024.48 patients in the control group received routine care,and 48 patients in the observation group were given comprehensive airway care management.The patients were observed until discharge.The incidence of adverse events,comfort,duration of mechanical ventilation,length of stay in ICU,quality of life level and patient satisfaction were compared between the two groups.Results:The incidence of adverse events in observation group was lower than that in control group,and the difference was statistically significant(χ^(2)=4.019,P<0.05).After nursing,GCQ scores in observation group were higher than those in control group,and the difference was statistically significant(t=8.414,11.208,10.891,9.024;P<0.05).Mechanical ventilation and ICU stay time in observation group were shorter than those in control group,the difference was statistically significant(t=11.021,7.876;P<0.05).The SF-36 score of observation group was higher than that of control group,and the difference was statistically significant(t=6.401,5.082,5.851,7.003,6.071,4.697,4.982,4.959;P<0.05).The nursing satisfaction score of the observation group was higher than that of the control group,and the difference was statistically significant(t=6.217,6.278,5.725,5.288,5.199,3.465,3.960,4.400;P<0.05).Conclusion:Comprehensive airway care management can reduce the risk of adverse events in HICH patients,effectively improve patient comfort,shorten the time of mechanical ventilation,and promote the improvement of patient’s quality of life and early recovery.So patients are more satisfied with the nursing service.

关 键 词：高血压性脑出血 机械通气 综合性气道护理管理 不良事件 舒适性 临床指标 生活质量 

分 类 号：R248.2[医药卫生—中医临床基础]