循证护理在重症颅脑外伤气管切开术后呼吸道护理中的临床应用效果

Clinical Application Effect of Evidence-based Nursing in Respiratory Tract Nursing after Tracheotomy of Severe Craniocerebral Trauma

目的:分析循证护理在重症颅脑外伤气管切开术后呼吸道护理中的应用效果。方法:本研究98例重症颅脑外伤气管切开术患者均为本院2018年6月-2019年6月接收,基于随机数字表法分组,对照组(49例)与观察组(49例)分别实施常规护理与循证护理,对护理效果进行对比分析。结果:感染、呼吸道阻塞和呼吸道黏膜损伤发生率观察组(4.08%、8.16%、18.37%)均比对照组(19.37%、26.53%、40.81%)低,差异有统计学意义(χ^(2)=5.017、5.764、5.926;P=0.025、0.016、0.015);留管时间方面,观察组比对照组短,差异有统计学意义(t=11.671,P=0.000);护理满意度方面,观察组为93.87%,对照组为77.56%,观察组比对照组高,差异有统计学意义(χ^(2)=5.333,P=0.021)。结论:重症颅脑外伤气管切开术后呼吸道护理过程中,循证护理方法的实施,不仅可以降低感染、呼吸道阻塞和呼吸道黏膜损伤的发生率,而且能够缩短置管时间,提高护理满意度,值得采纳、推广。

Objective:To analyze the application effect of evidence-based nursing in respiratory tract nursing after tracheotomy of severe craniocerebral trauma.Method:A total of 98 cases of severe craniocerebral trauma tracheotomy patients were received in our hospital from June 2018 to June 2019.They were divided into two groups based on random number table method.The control group(49 cases)and the observation group(49 cases)were given routine nursing and evidence-based nursing respectively,and the nursing effect was compared and analyzed.Result:The incidence of infection,respiratory tract obstruction and respiratory mucosa injury in the observation group(4.08%,8.16%,18.37%)was lower than those in the control group(19.37%,26.53%,40.81%),and the differences were significant(χ^(2)=5.017,5.764,5.926;P=0.025,0.016,0.015).In terms of tube retention time,the observation group was shorter than the control group,the difference was significant(t=11.671,P=0.000).In terms of nursing satisfaction,the observation group was 93.87%,significantly lower than 77.56%in the control group,the difference was significant(χ^(2)=5.333,P=0.021).Conclusion:The implementation of evidence-based nursing method in respiratory tract nursing after tracheotomy of severe craniocerebral trauma can not only reduce the incidence of infection,respiratory tract obstruction and respiratory mucosa injury,but also shorten the time of intubation and improve nursing satisfaction,which is worthy of adoption and promotion.