摘要
目的分析气管切开护理工作中循证护理的临床干预方法,并观察其应用效果。方法从该院神经外科2015年3月—2019年10月收治的气管切开术患者中随机选取150例,根据手术的先后时间,将所选的150例患者分成对照组和研究组,每组75例。给予对照组气管切开术患者常规护理干预,给予研究组气管切开术患者循证护理干预。分别比较两组患者的术后通气效果、相关护理指标,以及并发症发生情况。结果研究组PaCO2为(31.14±4.82)ρ/mmHg,BE为(3.54±1.78),明显低于对照组的(37.53±3.35)ρ/mmHg和(7.68±1.43)(t=9.427、15.702,P=0.000、0.000);研究组PaO2为(76.74±4.25)ρ/mmHg,明显高于对照组的(62.57±5.14)ρ/mm Hg(t=18.399,P=0.000);研究组吞咽功能恢复时间为(42.58±4.12)d,住院时间为(44.63±2.79)d,明显短于对照组的(59.75±3.28)d和(62.56±3.42)d(t=28.236、35.181,P=0.000、0.000);研究组并发症发生率为4.00%,明显低于对照组的16.00%(χ^2=6.000,P=0.014)。结论在气管切开护理工作中应用循证护理干预效果确切,不仅能改善患者的术后通气效果,促进吞咽功能的恢复,而且能缩短患者的住院时间,避免呼吸道感染等不良情况的发生。
Objective To analyze the clinical intervention methods of evidence-based nursing in tracheotomy nursing work and observe its application effect.Methods 150 patients were randomly selected from the tracheotomy patients treated in the hospital from March 2015 to October 2019,and the selected 150 patients were divided into a control group and a research group according to the time of surgery 75 patient samples were obtained.The control group was given routine nursing intervention for patients with tracheostomy,and the study group was given evidence-based nursing intervention for patients with tracheostomy.Compare the postoperative ventilation effect,related nursing indicators,and complications of the two groups of patients.Results PaCO2 in the study group was(31.14±4.82)ρ/mmHg,BE was(3.54±1.78),which was significantly lower than that in the control group(37.53±3.35)ρ/mmHg and(7.68±1.43)(t=9.427,15.702,P=0.000,0.000);PaO2 in the study group was(76.74±4.25)ρ/mmHg,which was significantly higher than that in the control group(62.57±5.14)ρ/mmHg(t=18.399,P=0.000);the swallowing function restored time of the study group was(42.58±4.12)d,and the hospital stay was(44.63±2.79)d,significantly shorter than(59.75±3.28)d and(62.56±3.42)d of the control group(t=28.236,35.181,P=0.000,0.000);the incidence of complications in the study group was 4.00%,significantly lower than that in the control group,16.00%(χ^2=6.000,P=0.014).Conclusion The application of evidence-based nursing intervention in tracheotomy nursing work is not only effective,not only can improve the postoperative ventilation effect of patients,promote the recovery of swallowing function,but also shorten the hospitalization time of patients and avoid the occurrence of adverse events such as respiratory tract infection.
作者
张娜
栗莲芝
ZHANG Na;LI Lian-zhi(Department of Neurosurgery,Laigang Hospital Affiliated to Shandong First Medical University,Jinan,Shandong Province,271100 China;Glandular Vascular Cardiothoracic Surgery,LaigangShandong First Medical University,Jinan,Shandong Province,271100 China)
出处
《中外医疗》
2020年第19期117-119,共3页
China & Foreign Medical Treatment
关键词
气管切开术
临床护理
循证护理
应用效果
吞咽功能
呼吸道感染
Tracheotomy
Clinical nursing
Evidence-based nursing
Application effect
Swallowing function
Respiratory tract infection
