循证护理在神经外科重症患者气管切开术后呼吸道护理中的应用效果

Effect of Evidence-based Nursing on Respiratory Tract after Tracheotomy in Severe Neurosurgery Patients

目的观察循证护理在神经外科重症患者气管切开术后呼吸道护理的应用效果。方法用"随机数表法"将我院96例实施气管切开术的神经外科重症患者均分为对照组和观察组两组,对照组给予常规护理,观察组实施循证护理,对比两组患者的血气分析及临床观察指标、并发症发生率及护理满意度。结果观察组患者的动脉氧分压、二氧化碳分压和护理总满意度高于对照组,碱剩余及并发症总发生率低于对照组(P<0.05)。结论对实施气管切开术的神经外科重症患者进行循证护理干预可有效改善患者的呼吸道质量,减少患者术后不良反应的发生率,值得推广。

Objective To observe the application effect of evidence-based nursing in respiratory tract nursing of severe neurosurgery patients after tracheotomy.Methods 96 patients with severe neurosurgery undergoing tracheotomy in our hospital were divided into control group and observation group by"random number table method".The control group was given routine nursing while the observation group was given evidence-based nursing.Blood gas analysis,clinical observation indexes,complication(medicine)incidence rate and nursing satisfaction were compared between the two groups.Results The arterial oxygen partial pressure,carbon dioxide partial pressure and total nursing satisfaction of patients in the observation group were higher than those in the control group,and the total incidence of alkali surplus and Complication(medicine)were lower than those in the control group(P<0.05).Conclusion Evidence-based nursing intervention for severe neurosurgery patients undergoing tracheotomy can effectively improve the respiratory tract quality of patients and reduce the incidence of postoperative adverse reactions,which is worthy of promotion.