摘要
目的探讨改良呼吸管路冷凝水处理装置的设计及应用效果。方法利用浮球式疏水阀“阻汽排水”的结构特点,改良呼吸机管路,于2023年8月选取我院神经外科ICU工作的12名护士,并选取2台呼吸机随机分为对照组和观察组,对照组使用普通呼吸机管路,观察组使用改良后呼吸机管路,比较48 h内2组设备冷凝水相关工作量、冷凝水处理质量督导情况及护士满意度。结果观察组收集冷凝水1050 mL,对照组收集冷凝水1035 mL,差异无统计学意义(P>0.05),冷凝水处理质量督导(超过50%容积情况、溅洒情况)有所改善。观察组护士在节约时间、减少工作量、提高护理安全3个维度满意度均高于对照组,差异有统计学意义(P<0.001)。结论改良呼吸管路冷凝水处理装置可有效降低护士处理冷凝水的工作负担,提高呼吸机冷凝水管理质量,提高护士的工作满意度。本设计也使机械通气患者呼吸管路的完全密闭成为可能,最大程度的降低了疾病传播风险及医务人员职业暴露的风险。
Objective To explore the application effect of improved respiratory pipeline condensate water treatment device.Methods By utilizing the structural characteristics of a floating ball drain valve to''block steam and drain water'',the ventilator tubing was improved.Two ICU ventilators in our hospital were randomly divided into the control group and the observation group.The control group used ordinary ventilator tubing,while the observation group used improved ventilator tubing.The workload related to condensate water,quality supervision of condensate water treatment,and nurse satisfaction were compared between 2 groups within 48 hours.Result Within 48 h,1,050 mL of condensate water was collected in the observation group,while 1,035 mL of condensate water was collected in the control group,and the difference was not statistically significant(P>0.05),and the quality supervision of condensate water treatment(over 50%volume and splashing situation)was improved.The satisfaction of nurses in the observation group in 3 dimensions of saving time,reducing workload,and improving nursing safety was higher than those in the control group,and the difference was statistically significant(P<0.001).Conclusion The improved condensate water treatment device in the respiratory tract can effectively reduce the workload of nursing staff in handling condensate water,improve the quality of condensate water management in ventilators,and enhance the job satisfaction of nursing staff.This design also makes it possible for the respiratory tract of mechanically ventilated patients to be completely sealed,reducing the risk of disease transmission and occupational exposure for medical personnel to the greatest extent.
作者
杨春艳
冯英璞
孟晓静
周立民
冯光
YANG Chunyan;FENG Yingpu;MENG Xiaojing;ZHOU Limin;FENG Guang(Henan Provincial People's Hospital&Cerebrovascular Hospital of Zhengzhou University People's Hospital,Zhengzhou 450003,Henan,China)
出处
《护士进修杂志》
2024年第18期1995-1997,2001,共4页
Journal of Nurses Training
基金
河南省医学科技攻关计划省部共建重点项目(编号:SBGJ202002001)。
关键词
机械通气
冷凝水
浮球式疏水阀
护理
mechanical ventilation
condensate
free float type steam trap
nursing
