集束化护理干预在人工气道患者中的应用

Application of Cluster Care in Patients with Artificial Airway

目的探讨集束化护理在重症监护病房(ICU)人工气道患者中的应用。方法将芜湖市第一人民医院2011年12月-2012年11月收治的43例人工气道患者作为干预组;另将我院同时间段ICU采用常规护理的43例人工气道患者作为对照组,对比两组病人意外脱管率、肺部感染率、机械通气时间、ICU住院时间以及病死率的不同。结果干预组病人意外脱管率、并发肺部感染率、机械通气时间、ICU住院时间以及病死率均低于对照组,差异有统计学意义(P<0.05)。结论对ICU人工气道患者中采用集束化护理干预,可降低意外脱管率、肺部感染率、病死率,减少机械通气时间以及ICU住院时间,提高护理疗效,改善患者结局。

Objective To investigate the application of cluster care in patients with artificial airway in ICU. Methods Total 86 patients with artificial airway in ICU of our hospital from December 2011 to November 2012 were enrolled and divided into in- tervention group（ n = 43 ） which received the cluster care and control group （n = 43 ） which received the routine care. The inci- dence of a disconnected catheter,incidence of lung infection, duration of mechanical ventilation, hospitalization time and fatality rate were compared between the two groups. Results The incidence of a disconnected catheter,incidence of lung infection, dura- tion of mechanical ventilation, hospitalization time and fatality rate in the intervention group were significantly decreased as com- pared to the control group, the difference was significant （ P 〈 0.05 ）. Conclusion For the patients with artificial airway in the ICU, the cluster care can decrease the incidence of a disconnected catheter, incidence of lung infection, duration of mechanical ventilation, hospitalization time and fatality rate, improve the efficacy of care and patient outcomes.