循证护理在气管切开术后防治并发症中的应用

The clinical practice for prevention of complications after tracheotomy using evidence-based nursing

目的:探讨循证护理在气管切开患者术后并发症防治中的应用。方法:将125例神经外科患者气管切开术后患者分为观察组(67例)和对照组(58例),观察组67例实行循证护理,对照组58例实行传统护理,观察并比较两组患者呼吸道阻塞、呼吸道黏膜损伤的发生率,肺部感染及切开置管的时间。结果:观察组呼吸道阻塞发生率(7.46%)、呼吸道黏膜损伤发生率(16.42%)均低于对照组(25.86%、51.72%),差异均有高度统计学意义(均P<0.01)。观察组肺部感染时间[(19.59±4.73)d]、切开置管时间[(23.83±4.85)d]均低于对照组[(26.42±5.03)、(32.36±5.57)d],差异均有高度统计学意义(均P<0.01)。结论:气管切开术后应用循证护理可减少术后并发症的发生。

Objective： To investigate the application of evidence-based nursing for prevention of complications after tracheotomy.Methods： 125 cases of patients in neurosurgery department after tracheotomy were selected and divided into observation group（67 cases） and control group（58 cases）.The observation group received the evidence-based nursing,while the control group received the traditional nursing.Airway obstruction,airway mucosa damage,time of lung infection and incision of catheter of the patients were observed and compared.Results： Compared with the control group（25.86%,51.72%）,the incidence rates of airway obstruction and airway mucosa damage of the observation group（7.46%,16.42%） reduced significantly（all P〈0.01）.Compared with the control group [（26.42±5.03）d,（32.36±5.57）d],the time of lung infection and incision of catheter of the observation group [（19.59±4.73）d,（23.83±4.85）d] reduced significantly（all P〈0.01）.Conclusion： With the application of evidence-based nursing,the tracheotomy patient′s complications rates will decrease.