专科护士主导的细节双渗透模式对重症颌面部感染患者监护管理的影响  

Impacts of dual penetration model of details led by specialized nurses on intensive care management of patients with severe maxillofacial infection

作　　者：蒋雅琼[1] 颜妮雅 刘颖[1] 陈露露 王颖 朱浩 JIANG Yaqiong;YAN Niya;LIU Ying;CHEN Lulu;WANG Ying;ZHU Hao(Intensive Care Unit,Nantong First People’s Hospital/the Second Affiliated Hospital of Nantong University,Jiangsu,Nantong 226000,China;Department of Nursing,Nantong Health College of Jiangsu Province,Jiangsu,Nantong 226000,China)

机构地区：[1]江苏省南通市第一人民医院/南通大学第二附属医院重症医学科,江苏南通226000 [2]江苏省南通卫生高等职业技术学校护理系,江苏南通226000

出　　处：《中国医药科学》2025年第6期65-68,72,共5页China Medicine And Pharmacy

基　　金：江苏省南通市卫生健康委员会科研课题(MSZ2022020);江苏省医院协会急诊管理专业委员会立项课题(JSYGY-3-2021-JZ26)。

摘　　要：目的 探讨专科护士主导的细节双渗透模式对重症颌面部感染患者监护管理的影响。方法 选择2020年7月至2023年6月南通市第一人民医院重症医学科(ICU)收治的48例重症颌面部感染患者为研究对象,按随机数表法将其分为对照组(n=24)和试验组(n=24)。对照组实施常规监护管理,试验组实施专科护士主导的细节双渗透模式监护管理。比较两组患者的入住ICU时间、机械通气时间、使用去甲肾上腺素和镇痛镇静药物的费用、不良事件发生率、再住院率、重返工作率、伤口继发感染率、伤口复发率以及满意度。结果 试验组患者使用去甲肾上腺素和镇痛镇静药物的费用、不良事件发生率、伤口继发感染率小于对照组,差异有统计学意义(P <0.05),试验组患者重返工作率、满意度均大于对照组,差异有统计学意义(P <0.05)。两组患者机械通气时间、入住ICU时间、伤口复发率、再住院率比较,差异无统计学意义(P> 0.05)。结论 专科护士主导的细节双渗透模式对重症颌面部感染患者能够减少血管活性药物和镇痛镇静药物的使用,降低不良事件发生率,提高重返工作率和满意度。Objective To investigate the impacts of dual penetration model of details led by specialized nurses on intensive care management of patients with severe maxillofacial infection.Methods A total of 48 patients with severe maxillofacial infection admitted to and treated in the Intensive Care Unit(ICU)of Nantong First People’s Hospital from July 2020 to June 2023 were selected as the research object,and they were divided into the control group(n=24)and the experimental group(n=24)according to the random number table method.The control group was treated with conventional intensive care management,while the experimental group was treated with dual penetration model of details led by specialized nurses on intensive care management.The ICU hospitalization time,mechanical ventilation time,the cost of norepinephrine and analgesic and sedative drugs,the incidence of adverse events,the rate of re-hospitalization,the rate of returning to work,the secondary infection rate of wounds,the relapse rate of wounds and satisfaction were compared between the two groups of patients.Results The expenses,incidence of adverse events and secondary infection rate of wounds of patients in the experimental group were lower than those in the control group,with statistically significant differences(P<0.05),and the rate of returning to work and satisfaction of patients in the experimental group were all higher than those in the control group,with statistically significant differences(P<0.05).There were no statistically significant differences in mechanical ventilation time,ICU hospitalization time,relapse rate of wounds and the rate of re-hospitalization between the two groups of patients(P>0.05).Conclusion The dual penetration model of details led by specialized nurses can reduce the use of vasoactive drugs and analgesic and sedative drugs for patients with severe maxillofacial infection,reduce the incidence of adverse events,and improve the rate of returning to work and satisfaction.

关 键 词：颌面部感染 专科护士 细节双渗透 监护 

分 类 号：R473[医药卫生—护理学]