罗伊适应模式在神经内科重症患者机械通气中的应用

Luo Iraq adaptation pattern in nerve internal medicine department critically ill patient machinery ventilation application

目的：探讨 Roy适应模式用于神经内科重症患者机械通气 （〉 72 h）患者的临床果.方法：选取神经内科病房长期接受机械通气的重症患者 52例,随机分为观察组 28例和对照组 24例,观察组采用 Roy适应模式中的生理、自我概念、角色功能及相互依赖 4种适应模式进行整体化护理,对照组采用常规护理方法.观察较两组患者的脱机成功率、机械通气时间、住院时间及住院费用.结果：在两组患者的情况均无显著性差异 （P均 〉 0.05）的条件下,观察组脱机成功率显著提高 （P 〈 0.05）,使用呼吸机的天数明显缩短 （P 〈0.05）.同时随访资料显示,住院天数缩短,住院费用降低,但是统计学无显著性差异 （P 〉 0.05）.结论：对长期接受机械通气患者中实行 Roy适应模式能缩短机械通气的时间,提高脱机成功率。

Objective：Discusses the Roy adaptation pattern to use in the nerve internal medicine department critically ill patient machinery ventilation （〉 72 h） patient＇s clinical fruit. Methods：The selection nerve internal medicine ward accepts the machinery ventilation for a long time the critically ill patient 52 examples,divides into the observation group 28 examples and the control group 24 examples stochastically,the observation group uses in the Roy adaptation pattern the physiology,the self-concept,the role function and the interdependent 4 kind of adaptation pattern carries on integration nursing, the control group uses the conventional nursing method. Observation two group of patient＇s off-line success ratios, machinery ventilation time,in hospital time and in hospital expense. Results：Do not have the significance difference in two group of patient＇s situations （P 〉0.05） under condition,observation group off-line success ratio remarkable enhancement （P〈 0.05）, Uses the life-support machine the number of days to reduce （P 〈0 obviously. 05）. Simultaneously makes a follow--up visit the material to demonstrate that,in hospital number of days reduces, in hospital expense reduces,but statistics non--significance difference （P〉 0.05）. Conclusion： To accepts the machinery to ventilate in for a long time the patient to implement the Roy adaptation pattern to be able to reduce the machinery ventilation the time, enhances the off--line success ratio.