摘要
目的探讨针对性护理干预在ICU脑出血患者中的应用效果。方法选取2016年5月~2018年4月我院ICU收治70例脑出血患者作为研究对象,按照随机数字法分为对照组(35例)与干预组(35例)。对照组采取常规护理干预,干预组采取针对性护理干预。比较两组患者干预前后的血气分析指标,在护理期间的并发症发生率。结果两组干预后的各项血气分析指标水平显著高于干预前,差异有统计学意义(P<0.05);干预组患者干预后的各项血气分析指标水平明显高于对照组,差异有统计学意义(P<0.01)。干预组患者的误吸率为2.86%,肺部感染率为0.00%,低氧血症率为0.00%,低于对照组患者的25.71%、11.43%、11.43%,差异有统计学意义(P<0.05)。两组干预后的压疮发生率均为2.86%,差异无统计学意义(P>0.05)。结论在ICU收治的脑出血患者中,采取针对性护理干预可明显降低患者误吸、肺部感染、低氧血症发生率,改善其血气分析指标,效果理想。
Objective To explore the application effect of targeted nursing intervention in ICU patients with cerebral hemorrhage. Methods Seventy patients with cerebral hemorrhage treated by ICU from May 2016 to April 2018 were selected as the study subjects. They were randomly divided into the control group(35 cases) and intervention group(35 cases) according to the random number method. The control group was given routine nursing intervention, while the intervention group was given targeted nursing intervention. The blood gas index levels before and after intervention and the incidence of complications during nursing were compared in patients between the two groups. Results The blood gas index levels of the two groups after intervention were significantly higher than those before intervention, with statistical differences(P<0.05). After nursing intervention, the blood gas index levels of the intervention group were significantly higher than those of the control group, with statistical differences(P<0.01). The rates of aspiration, pulmonary infection and hypoxemia in intervention group were 2.86%, 0.00% and 0.00%, which were lower than those in control group(25.71%, 11.43% and 11.43%, respectively), and the differences were statistically significant(P<0.05). The incidence of pressure ulcer after intervention in both groups was 2.86%, and there was no significant difference between the two groups(P>0.05). Conclusion Targeted nursing intervention can significantly reduce the incidence of aspiration,pulmonary infection and hypoxemia in ICU patients with cerebral hemorrhage, and improve the blood gas index of patients with satisfactory effect.
作者
李建
龚利平
曹日进
LI Jian;GONG Li-ping;CAO Ri-jin(ICU, Central Hospital of Baoan District in Shenzhen City (the Fifth Affiliated Hospital of Shenzhen University), Guangdong Province, Shenzhen 518000, China)
出处
《中国当代医药》
2019年第16期250-252,共3页
China Modern Medicine
关键词
ICU
脑出血患者
预防肺部感染
干预性护理
效果分析
Intensive care unit for severe cases
Patients with cerebral hemorrhage
Prevention of pulmonary infection
Interventional nursing
Effect analysis
