循证护理在气管切开术患者呼吸道管理中的应用

Application of Evidence-based Care in Respiratory Passage Administration of Patients after Incision of Trachea

目的:探讨循证护理在气管切开术患者呼吸道管理中应用的效果及措施。方法:将104例患者随机分为观察组和对照组各52例。观察组重点从"气道湿化、肺部物理疗法、吸痰、气道感染的预防、口咽部护理"几个方面进行循证,获取最佳证据,指导临床护理,对照组按传统护理法。结果:观察组患者并发症的发生率、死亡率显著低于对照组,患者及家属对护理工作的满意率明显提高。结论:运用循证护理能减少患者并发症的发生,降低病死率,提高生存质量。

Objective：To approach the effect and measurement of evidence-based care used in respiratory passage administration of the patients after Incision of trachea. Methods： One hundred and four cases were randomly divided into experimental group and control group. In the experimental group, airway humidification, physical therapy to lung, aspirate sputum, precaution of respiratory infection and the care of pharynx oralis were made, relative data were collected to made strategy to instruct the nursing. Routine nursing was carried out in control group. Results： The complication and mortality of the experimental group was significantly lower than that of the control group, patients and their relatives were more satisfied with our nursing. Conclusion： Application of evidence-based care can reduce the complication and case fatality rate, and improve the quality of life.