循证护理在神经外科重症患者气管切开术后呼吸道护理中的应用效果  

Application Effect of Evidence-based Nursing in Respiratory Tract Nursing of Critically Ill Patients After Tracheotomy in Neurosurgery Department

作　　者：郭剑 周丽华[1] GUO Jian;ZHOU Lihua(Neurosurgery Department,Jiangdu People's Hospital of Yangzhou City,Yangzhou 225000,Jiangsu,China)

机构地区：[1]扬州市江都人民医院神经外科,江苏扬州225000

出　　处：《医学信息》2025年第8期148-151,共4页Journal of Medical Information

摘　　要：目的 探讨循证护理对神经外科重症患者气管切开术后呼吸道护理中的效果。方法 选取2017年5月-2023年4月扬州市江都人民医院收治的60例神经外科重症患者作为观察对象,采用随机数字表法将患者分成对照组和研究组,每组30例。对照组采用常规呼吸道护理,研究组在其基础上联合应用循证护理。比较两组护理优良率、生活质量、并发症(气道堵塞、皮下气肿、出血、肺部感染)、心理状态。结果 与对照组护理优良率的76.67%比较,研究组护理优良率更高,为93.33%(P<0.05);与对照组比较,研究组社会能力、躯体功能、心理功能评分更高(P<0.05);与对照组并发症发生率的20.00%比较,研究组并发症发生率更低,仅为3.33%(P<0.05);与对照组比较,研究组护理后SAS、SDS评分更低(P<0.05)。结论 在神经外科重症患者气管切开术后呼吸道护理中,循证护理可提高呼吸道护理效果,降低并发症发生风险,同时有利于缓解患者负面情绪,提高生活质量,值得临床应用。Objective To explore the effect of evidence-based nursing in respiratory tract nursing of critically ill patients after tracheotomy in neurosurgery department.Methods From May 2017 to April 2023,60 critically ill patients after tracheotomy admitted to neurosurgery department of Jiangdu People′ s Hospital of Yangzhou City were selected as observation objects.The patients were divided into control group and study group by random number table method,with 30 patients in each group.The control group was treated with routine respiratory nursing,and the study group was combined with evidence-based nursing on the basis of routine respiratory care.The excellent and good rate of nursing,quality of life,complications(airway obstruction,subcutaneous emphysema,hemorrhage,pulmonary infection) and psychological state were compared between the two groups.Results Compared with 76.67% of the excellent and good rate of nursing in the control group,the excellent and good rate of nursing in the study group was higher,accounting for 93.33%(P<0.05).Compared with the control group,the scores of social ability,physical function and psychological function in the study group were higher(P<0.05).Compared with 20.00% of the complication rate in the control group,the complication rate in the study group was lower,only 3.33%(P<0.05).Compared with the control group,the SAS and SDS scores of the study group were lower after nursing(P<0.05).Conclusion In the respiratory tract nursing of critically ill patients after tracheotomy in neurosurgery,evidence-based nursing can improve the effect of respiratory tract nursing,reduce the risk of complications,and help alleviate the negative emotions of patients and improve the quality of life.It is worthy of clinical application.

关 键 词：循证护理 神经外科 重症 气管切开术 呼吸道护理 

分 类 号：R473[医药卫生—护理学]