摘要
目的探讨风险预警制度指导的预见性护理在ICU急性呼吸衰竭患者中的应用效果。方法选取2018年6月至2019年6月天津市第三中心医院收治的急性呼吸衰竭患者128例,随机分为对照组和观察组各64例。对照组给予常规护理,观察组给予风险预警制度指导的预见性护理措施。比较2组呼吸机应用情况、治疗时间。结果观察组呼吸机相关性肺炎(VAP)发生率(1.56%vs 14.06%)、呼吸机依赖发生率(1.56%vs 18.75%)、再插管率(1.56%vs 17.19%)低于对照组,一次性撤机成功率(89.06%vs 70.31%)高于对照组(P<0.05);观察组机械通气时间[(6.03±1.14)d vs(7.93±1.89)d]、ICU停留时间[(8.97±1.82)d vs(11.84±3.18)d]及住院时间[(13.14±3.28)d vs(16.88±3.52)d]均短于对照组(P<0.05)。结论风险预警制度指导的预见性护理措施能够降低急性呼吸衰竭患者VAP发生率,改善呼吸机依赖,缩短治疗时间。
Objective To investigate the effects of foreseeable nursing guided by risk early warning mechanism on ICU patients with acute respiratory failure.Methods Totally 128 patients with acute respiratory failure treated in our hospital from June 2018 to June 2019 were selected and randomly divided into control group and observation group,with 64 cases in each group.The control group was given routine nursing,while the observation group was treated with foreseeable nursing guided by risk early warning mechanism.The situation of ventilator application and treatment time of the two groups were compared.Results The incidence of VAP(1.56%),ventilator dependence rate(1.56%)and re-intubation rate(1.56%)in observation group were lower than those(14.06%,18.75%,17.19%)in control group,and the success rate(89.06%)of one-time withdrawal of ventilator in observation group was higher than that(70.31%)in control group(P<0.05).The time of mechanical ventilation(6.03±1.14)d,ICU stay(8.97±1.82)d and hospital stay(13.14±3.28)d in observation group was shorter than that(7.93±1.89 d,11.84±3.18 d,16.88±3.52 d)in control group(P<0.05).Conclusion The foreseeable nursing guided by risk early warning mechanism can reduce incidence of VAP,improve ventilator dependence and shorten treatment time in ICU patients with acute respiratory failure.
作者
张永识
ZHANG Yong-shi(Tianjin Third Central Hospital/Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases/Tianjin Artificial Cell Engineering Technology Research Center/Tianjin Institute of Hepatobiliary Disease,Tianjin 300170,China)
出处
《中国误诊学杂志》
CAS
2020年第1期42-44,共3页
Chinese Journal of Misdiagnostics
关键词
呼吸功能不全
护理
预警
respiratory insufficiency
nursing care
early warning
