摘要
目的:评价经过标准化吸痰护理培训的陪护人员自行为气管切开患者进行浅部吸痰护理的安全性、实用性及可行性。方法:选取兰州军区乌鲁木齐总医院神经外科2007年3月～2011年12月预计气管切开可能达到4周以上的脑卒中患者120例,将其随机分为护士吸痰组、经标准化培训的陪护人员吸痰组和简单培训的培训人员吸痰组,每组40例。对标准化培训吸痰组陪护人员按照既定的标准化培训方案进行培训,提高陪护人员吸痰护理技能,让陪护人员对患者进行浅层吸痰,与经简单培训的患者陪护人员及专业护士吸痰进行对比,比较三组的吸痰效果、并发症发生情况及家属满意度。结果:经过统一标准化培训后陪护人员的吸痰技能较经简单培训的陪护人员显著提高,患者低氧血症、气道粘膜损伤、呛咳等并发症的发生率显著降低,吸痰效果及家属满意度均明显提高,其浅部吸痰技能接近于专业护士水平,标准化培训吸痰组患者肺部感染发生率、治愈率及治疗时间均较护士吸痰组下降。结论:经过标准化吸痰护理培训的陪护人员自行为气管切开患者进行浅部吸痰护理安全可靠、实用性强,是一种理想的气管切开患者吸痰护理新模式。
Objective： To evaluate the safety and effects of aspiration of sputum operated by the attendant. Methods： 120 patients were randomly divided into three groups, 40 patients in each group： Control group, standard training group and simple training group. Complication and effects of aspiration of sputum in 3 groups were compared. Satisfaction degree of guardian were evaluated. Results： Compared with simple training group, standard training could reduce the complication of aspiration of sputum, and increase the effects of aspiration of sputum and satisfaction degree of guardian. Conclusions： Aspiration of sputum operated by the attendant is safe and efficient, and it would be a new ideal mode ofpostsurgical care oftracheotomy.
出处
《现代生物医学进展》
CAS
2012年第33期6521-6523,6535,共4页
Progress in Modern Biomedicine
关键词
陪护人员
吸痰
气管切开
Attendant
Aspiration of sputum
Tracheotomy
