摘要
目的:探讨集束化护理在接受呼吸机治疗的重症患者中的应用效果。方法:选取2018年1月—2019年12月广州市番禺区第五人民医院收治的接受呼吸机治疗的重症患者80例作为研究对象,采用随机数字表法分为两组,各40例。对照组实施常规护理,试验组在对照组基础上实施集束化护理。比较两组临床指标、血气指标、生存质量、健康状况、不良事件发生情况。结果:试验组呼吸机治疗时间、重症监护室住院时间、总住院时间均短于对照组,差异有统计学意义(P<0.001)。护理后,试验组动脉血氧分压及pH值高于对照组,动脉血二氧化碳分压低于对照组,差异有统计学意义(P<0.001)。护理后,试验组生存质量及健康状况均优于对照组,差异有统计学意义(P<0.001)。试验组气管切开、呼吸机相关性肺炎发生率均低于对照组,差异有统计学意义(P<0.05)。结论:集束化护理在接受呼吸机治疗的重症患者中的应用效果显著,可缩短患者住院时间,改善其血气指标、生存质量及健康状况,降低不良事件发生率。
Objective:To explore the application effect of cluster nursing in ventilator-treated severe patients.Methods:From January 2018 to December 2019,80 severe patients treated by ventilator in Panyu Fifth People's Hospital of Guangzhou were selected as the study subjects.They were divided into two groups according to random number table method,with 40 cases in each group.The control group was given routine nursing,while the test group was given cluster nursing on the basis of the control group.The clinical indicators,blood gas indicators,quality of life,health status and adverse events of patients in the two groups were compared.Results:The ventilator treatment duration,ICU stay length and total hospital stay length in the test group were shorter than those in the control group,and the difference was statistically significant(P<0.001).After nursing,the partial pressure of arterial oxygen and pH value in the test group were higher than those in the control group,and the partial pressure of carbon dioxide in arterial blood was lower than that in the control group,and the difference was statistically significant(P<0.001).After nursing,the quality of life and health status in the test group were better than those in the control group,and the difference was statistically significant(P<0.001).The incidence of tracheal incision and ventilator-associated pneumonia in the test group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application effect of cluster nursing is significant in ventilator-treated severe patients,which can shorten the hospital stay length of patients,improve their blood gas indicators,quality of life and health status,and reduce the incidence of adverse events.
作者
李敏
Li Min(Nursing Department,Panyu Fifth People's Hospital of Guangzhou,Guangzhou 511495,Guangdong Province,China)
出处
《中国社区医师》
2023年第14期106-108,共3页
Chinese Community Doctors
关键词
重症
集束化护理
呼吸机相关性肺炎
Critical illness
Cluster nursing
Ventilator associated pneumonia
