神经外科气管切开术后患者食管反流的护理干预

Nursing intervention in neurosurgery patients after tracheotomy esophageal reflux

目的观察护理干预对神经外科气管切开术后患者食管反流的临床效果与满意度。方法选取2013年4月-2015年1月医院神经外科收治的气管切开术后患者50例,随机分为试验组与对照组各25例。对照组给予常规护理,试验组加施食管反流专业性护理,比较2组患者干预效果与满意度。结果试验组食管反流、呼吸道感染与死亡发生率明显低于对照组,成功拔管率明显高于对照组,差异有统计学意义(P<0.05);2组患者病危率比较差异无统计学意义(P>0.05);试验组患者护理满意情况显著性优于对照组,差异有统计学意义(P<0.01)。结论护理干预对神经外科气管切开术后患者食管反流的临床效果显著,可提高满意度,具有借鉴性。

Objective To investigate the clinical effect and patient satisfaction of nursing intervention in neurosurgical patients after tracheotomy esophageal reflux. Methods 50 cases of hospital patients after neurosurgery tracheotomy unblinded randomized into two groups, the control group were treated with routine care of patients in the experimental group applied on esophageal reflux professional care,intervention and comparison groups of patients satisfaction. Results The patients esophageal reflux, respiratory infection and death rate was significantly lower than the control group, the successful extubation was signif- icantly higher, there is a significant difference was statistically significant （ P 〈 0.05 ） ; the rate of two groups of patients in critical condition there is no significant difference was not statistically significant （ P 〉 0.05 ） ; satisfaction with patient care in the experimental group was significantly better than the control group, there was a significant difference statistically significant （ P 〈 0.01 ）. Conclusion Nursing intervention neurosurgieal patients after tracheotomy esophageal reflux clinical results significantly,can increase satisfaction with Reference.