摘要
目的 研究气管切开患者气道湿化的护理方法与效果。方法 选择2021年06月-2022年06月到本院接受气管切开手术的患者116例,按照不同护理方式,分作实验组和对照组,分析两组护理效果。结果 实验组心理状态(SAS、SDS)优于对照组,P<0.05;实验组患者护理满意度57/58(98.28%)高于对照组50/58(86.21%),P<0.05;实验组感染概率2/58(3.45%)低于对照组10/58(17.24%),P<0.05;实验组睡眠质量显著优于对照组,P<0.05。结论 运用气道湿化护理服务干预气管切开患者,可改善其临床指标,降低感染概率。
关键词: 气管切开;气道湿化;常规护理;护理满意度;感染率;睡眠质量
Abstract
Objective To study the nursing method and effect of airway humidification in patients with tracheotomy. Methods A total of 116 patients who received tracheotomy in our hospital from June 2021 to June 2022 were selected. According to different nursing methods, they were divided into experimental group and control group, and the nursing effect of the two groups was analyzed. Results The psychological status (SAS, SDS) of experimental group was better than that of control group, P<0.05; The nursing satisfaction of patients in experimental group 57/58 (98.28%) was higher than that in control group 50/58 (86.21%), P<0.05; The infection probability of the experimental group was 2/58 (3.45%) lower than that of the control group 10/58 (17.24%), P<0.05; The sleep quality of the experimental group was significantly better than that of the control group, P<0.05. Conclusion Using airway humidification nursing service to intervene in patients with tracheotomy can improve their clinical indicators and reduce the probability of infection.
Key words: Tracheotomy; Airway humidification; Routine nursing; Nursing satisfaction; Infection rate; The quality of sleep
参考文献 References
[1] 冯海丽,田群群,姚红方. 头脑风暴法联合护理专案活动在重症颅脑损伤术后气管切开病人中的应用[J]. 疾病监测与控制,2021,15(2):127-130.
[2] 区国贞,杨凤莲,陈景倩. 持续气道泵入湿化在喉癌患者气管切开术后的护理措施及效果[J]. 中国医学文摘(耳鼻咽喉科学),2022,37(2):153-154,171.
[3] 张燕. 2种气道湿化法用于不同疾病气管切开患者的气道湿化效果及效益[J]. 临床与病理杂志,2022,42(5):1061-1068.
[4] 农明,赵凯丽,陶嘉怡,等. 机械通气人工气道吸痰护理进展的总结与归纳[J]. 护理实践与研究,2022,19(10):1471-1474.
[5] 刘琳,宋丹丹. 神经外科患者气管切开后应用氧驱气道湿化护理的效果[J]. 国际护理学杂志,2021,40(13):2392-2395.
[6] 洪晓霞,田以茂. 呼吸机湿化罐对气管切开患者气道持续温湿化护理分析[J]. 现代仪器与医疗,2021,27(5):68-71.
[7] 俞巧兰,万小菊,周春香,等. 主动呼吸循环技术结合0.45%盐水持续气道湿化在脑卒中气管切开患者护理中的应用[J]. 护理实践与研究,2021,18(7):1084-1086.
[8] 张琼,李亮,肖欢. 基于Delphi法构建的喉癌术后气管切开患者气道湿化方案实施效果[J]. 护理实践与研究,2021,18(15):2299-2302.
[9] 叶庆玲,肖勤,陈梅,等. 呼吸机湿化器与人工鼻对创伤性颅脑损伤患者气管切开术后早期气道湿化的效果比较[J]. 中国血液流变学杂志,2021,31(3):421-424.
[10] 王凤珍,钟雪梅,张宇皓,等. 微粒加湿法在气管切开非机械性通气患者气道湿化中的临床效果[J]. 中国当代医药,2021,28(15):52-55,59.