EBN视域下的敏感指标管理在ICU气管插管患者中的应用效果  

Application effect of sensitive indicator management in ICU patients with endotracheal intubation from the perspective of EBN

作　　者：高小情 苏丽虹 GAO Xiaoqing;SU Lihong(Department of Critical Care Medicine,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重症医学科,福建厦门361000

出　　处：《黑龙江医药科学》2025年第3期182-185,共4页Heilongjiang Medicine and Pharmacy

摘　　要：目的:探究循证护理(EBN)视域下的敏感指标管理在重症加强护理病房(ICU)气管插管患者中的应用效果。方法:选取2023年3月至2024年3月厦门大学附属第一医院收治的93例ICU气管插管患者,按照入科时间不同分为对照组(n=47,2023年3月至2023年8月)与研究组(n=46,2023年9月至2024年3月)。对照组实施常规护理,研究组在对照组基础上实施EBN视域下敏感指标管理。对比两组干预后护理质量、血气分析指标[动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))]及肺动脉压(PAP)、干预期间并发症发生率、转科当天患者护理满意度。结果:干预后,研究组护理质量优于对照组(χ^(2)=5.928、8.158、4.287、5.324、5.182,P<0.05);干预后,研究组PaO_(2)高于对照组,PaCO_(2)、PAP低于对照组(t=3.885、6.427、6.245,P<0.05);干预期间,研究组并发症发生率8.70%低于对照组29.79%(χ^(2)=6.626,P<0.05);转科当天,研究组护理满意度93.48%高于对照组76.00%(χ^(2)=5.182,P<0.05)。结论:对ICU气管插管患者实施EBN视域下的敏感指标管理,可提升护理质量,改善期动脉血气分析指标及PAP,降低护理期间并发症发生率,提高家属护理满意度。Objective:To explore the application effect of sensitive indicator management from the perspective of Evidence-Based Nursing(EBN)in patients with endotracheal intubation in the Intensive Care Unit(ICU).Methods:93 ICU patients with endotracheal intubation admitted to the First Affiliated Hospital of Xiamen University from March 2023 to March 2024 were selected and divided into control group(n=47,from March 2023 to August 2023)and study group(n=46,from September 2023 to March 2024)based on their admission time.The control group received routine nursing,while the study group received sensitive indicator management from the EBN perspective in addition to the routine care provided to the control group.The nursing quality,blood gas analysis indicators[arterial oxygen partial pressure(PaO_(2)),arterial carbon dioxide partial pressure(PaCO_(2))],pulmonary artery pressure(PAP),incidence of complications during the intervention,and patient satisfaction with nursing on the day of transfer were compared between the two groups.Results:After intervention,the nursing quality in the study group was superior to that in the control group(χ^(2)=5.928,8.158,4.287,5.324,5.182,P<0.05).Post-intervention,the PaO_(2) in the study group was higher,while PaCO_(2) and PAP were lower than that in the control group(t=3.885,6.427,6.245,P<0.05).During intervention,the incidence of complications in the study group 8.70%was lower than that in the control group 29.79%(χ^(2)=6.626,P<0.05).On the day of transfer,the nursing satisfaction in the study group 93.48%was higher than that in the control group 76.00%(χ^(2)=5.182,P<0.05).Conclusion:Implementing sensitive indicator management from the EBN perspective for ICU patients with endotracheal intubation can improve nursing quality,enhance arterial blood gas analysis indicators and PAP,reduce the incidence of complications during nursing,and increase patient satisfaction with nursing.

关 键 词：ICU气管插管患者 循证护理视域下的敏感指标管理 气管插管 动脉血气 并发症 

分 类 号：R473[医药卫生—护理学]