摘要
目的:分析综合护理措施对急性呼吸窘迫综合征患者俯卧位通气的应用效果。方法:选取2021年1—6月北京京煤集团总医院收治的急性呼吸窘迫综合征患者30例为对照组,2022年1—6月北京京煤集团总医院收治的急性呼吸窘迫综合征患者30例为研究组。对照组实行常规护理,研究组实行综合护理措施,比较两组护理满意度、肺浸润率、缺氧情况、不良事件发生情况。结果:研究组患者护理满意度高于对照组,差异有统计学意义(P=0.038);干预后,研究组患者肺浸润率低于对照组,差异有统计学意义(P=0.006);干预后,两组患者缺氧中度例数比较,差异无统计学意义(P>0.05);研究组患者缺氧轻度例数多于对照组,重度例数少于对照组,差异有统计学意义(P<0.05);研究组不良事件发生率低于对照组,差异有统计学意义(P=0.020)。结论:综合护理措施能提高ICU俯卧位通气患者的护理质量,缓解缺氧情况,降低不良事件发生率,改善肺浸润情况,值得推广。
Objective:To analyze the effect of comprehensive nursing measures on prone ventilation in patients with acute respiratory distress syndrome.Methods:A total of 30 patients with acute respiratory distress syndrome were selected as the control group in Beijing Jingmei Group General Hospital from January to June 2021,and 30 patients with acute respiratory distress syndrome were selected as the study group in Beijing Jingmei Group General Hospital from January to June 2022.The control group received routine nursing,and the study group received comprehensive nursing measures.Nursing satisfaction,pulmonary infiltration rate,hypoxia and adverse events were compared between the two groups.Results:The nursing satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P=0.038);after intervention,the pulmonary infiltration rate in the study group was lower than that in the control group,and the difference was statistically significant(P=0.006);after intervention,there was no significant difference in the number of moderate hypoxia cases between the two groups(P>0.05);the number of mild hypoxia cases in the study group was more than that in the control group,and the number of severe hypoxia cases was less than that in the control group,the difference was statistically significant(P<0.05);the incidence of adverse events in the study group was lower than that in the control group,the difference was statistically significant(P=0.020).Conclusion:Comprehensive nursing measures can improve the nursing quality of prone ventilation patients in ICU,alleviate hypoxia,reduce the incidence of adverse events,and improve pulmonary infiltration,which is worth promoting.
作者
马敏
张芸
Ma Min;Zhang Yun(Beijing Jingmei Group General Hospital,Beijing 102300,China)
出处
《中外医药研究》
2023年第20期120-122,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
综合护理
急性呼吸窘迫综合征
俯卧位通气
Comprehensive nursing
Acute respiratory distress syndrome
Prone position ventilation
