摘要
目的:分析应急预防演练安全护理模式对气管插管危重症意识不清患者导管滑脱相关事件发生、血气指标、呼吸功能指标的影响。方法:选取本院重症医学科2019年1月至2022年1月收入的64例行气管插管的危重症意识不清患者,采用随机数字表法分为两组各32例。对照组采取传统重症医学科护理模式,观察组在对照组基础上增加应急预防演练安全护理模式,由监护仪器采集血气指标(动脉血二氧化碳分压、动脉血氧分压、血氧饱和度)、呼吸功能指标(呼吸频率、每分钟通气量、平均动脉压),统计导管滑脱相关事件(气道出血、通气不良、心律失常、感染)总发生率并对以上指标进行对比。结果:观察组护理后的血气指标、呼吸功能指标优于对照组、导管滑脱相关事件总发生率低于对照组,差异有统计学意义(P<0.05)。结论:应急预防演练安全护理模式有助于降低气管插管危重症意识不清患者导管滑脱相关事件总发生率、改善血气指标以及呼吸功能指标,值得使用。
Objective:To analyze the effect of emergency prevention drill safety nursing mode on the occurrence of catheter slip-related events,blood gas indexes,and respiratory function indexes in critically ill patients with tracheal intubation.Methods:A total of 64 critically ill patients with unconsciousness who received tracheal intubation from the Department of Critical Care Medicine in our hospital from January 2019 to January 2022 were selected and randomly divided into two groups with 32 cases in each group.The control group adopted the traditional intensive care medicine nursing mode,while the observation group added the emergency prevention drill safety nursing mode on the basis of the control group.Respiratory function indicators(respiratory rate,minute ventilation,mean arterial pressure),and the total incidence of catheter slip-related events(airway hemorrhage,poor ventilation,arrhythmia,infection)were calculated and compared.Results:The blood gas indexes and respiratory function indexes of the observation group after nursing were better than those of the control group,and the total incidence of catheter slip-related events was lower than that of the control group,and the differences were statistically significant(P<O.05).Conclusion:The emergency prevention drill safety nursing model can help reduce the total incidence of catheter slip page-related events in critically ill patients with tracheal intubation,improve blood gas indicators and respiratory function indicators,and is worthy of use.
作者
张群
Zhang Qun(Department of Critical Care Medicine,Jiawang District People's Hospital,Xuzhou City,Xuzhou Jiangsu,221011,China)
出处
《中外女性健康研究》
2022年第17期18-20,共3页
Women＇s Health Research
关键词
气管插管
危重症患者
意识不清
应急预防演练
导管滑脱
血气指标
呼吸功能指标
Tracheal intubation
Critically ill patients
Unconsciousness
Emergency prevention drill
Catheter slippage
Blood gas indexes
Respiratory function indexes
