摘要
目的:探讨ICU护理风险干预在急性呼吸窘迫综合征(ARDS)患者中的应用效果。方法:选取2018年10月-2020年2月郑州市第七人民医院ICU收治的100例伴有ARDS的患者作为研究对象。随机分为对照组和实验组,每组各50例。对照组实施常规护理,实验组在常规护理的基础上实施ICU护理风险干预。比较两组患者的护理满意度、机械通气相关指标[动脉血氧分压(PaO_(2)),二氧化碳分压(PaCO_(2)),氧合指数(PaO_(2)/FiO_(2))]、舒适状况量表(GCQ)评分以及护理风险事件发生率。结果:实验组护理满意度高于对照组,差异有统计学意义(χ^(2)=5.315,P<0.05)。实验组PaO_(2)指标低于对照组,PaCO_(2)、PaO_(2)/FiO_(2)指标高于对照组,差异有统计学意义(t=38.659、14.660、4.682,P<0.05)。实验组GCQ评分高于对照组,差异有统计学意义(t=9.547、5.747、11.353、9.960,P<0.05)。实验组护理风险事件发生率低于对照组,差异有统计学意义(χ^(2)=5.740,P<0.05)。结论:对ARDS患者进行ICU护理风险干预,能够较好地提高护理满意度,改善通气质量,提高舒适度,降低护理风险事件发生率。
Objective:To explore the application effect of ICU nursing risk intervention in patients with acute respiratory distress syndrome(ARDS).Methods:A total of 100 patients with ARDS who were admitted to the hospital ICU from October 2018 to February 2020 were selected as the research objects,and were randomly divided into the control group and the experimental group,with 50 cases in each group.The control group was given routine nursing care,and the experimental group was given ICU nursing risk intervention.The nursing satisfaction,mechanical ventilation-related indicators(arterial partial pressure of oxygen[PaO_(2)],carbon dioxide partial pressure[PaCO_(2)],oxygenation index[PaO_(2)/FiO_(2)]),comfort status scale(GCQ)scores and nursing risk event rate were compared between the two groups of patients.Results:The nursing satisfaction of the experimental group was higher than that of the control group,and the difference was statistically significant(χ^(2)=5.315,P<0.05).The PaO_(2)index of the experimental group was lower than that of the control group,and the PaCO_(2)and PaO_(2)/FiO_(2)indexes were higher than those of the control group,and the differences were statistically significant(t=38.659,14.660,4.682,P<0.05).The GCQ score of the experimental group was higher than that of the control group,and the difference was statistically significant(t=9.547,5.747,11.353,9.960,P<0.05).The incidence of nursing risk events in the experimental group was lower than that in the control group,and the difference was statistically significant(χ^(2)=5.740,P<0.05).Conclusion:ICU nursing risk intervention for ARDS patients can better improve nursing satisfaction,improve ventilation quality,improve comfort,and reduce the incidence of nursing risk events.
作者
李盛楠
吴子芳
刘艳菊
LI Sheng-nan;WU Zi-fang;LIU Yan-ju(Zhengzhou Seventh People’s Hospital,Zhengzhou,Henan,450000,China)
出处
《黑龙江医学》
2022年第20期2521-2523,共3页
Heilongjiang Medical Journal
基金
河南省重点研发与推广专项(192102310062)。
关键词
ICU护理风险干预
急性呼吸窘迫综合征
护理分析
ICU nursing risk intervention
Acute respiratory distress syndrome
Nursing analysis
