摘要
目的 观察对机械通气患者的气管插管实施护理干预的效果,探讨其临床应用价值.方法 选择2015年1月~2015年6月机械通气患者50例作为研究对象,实施护理干预,创造有利于身心健康的环境、建立有效的护患沟通、心理护理、口腔护理、保持气管插管适当位置、适度气管导管气囊充气、正确进行气管内吸引操作、加强呼吸道湿化和温化、预防感染、拔管前后的护理.结果 经积极有效地护理干预,治疗及护理依从性好49例(98.00%),发生呼吸机相关性肺炎4例(8.00%),未发生非计划性拔管,47例患者病情平稳,顺利脱机拔出气管插管,2例病情危重死亡,1例患者因经济原因放弃治疗自动出院.患者及家属对护理满意50例(100.00%).结论 对机械通气患者的气管插管实施护理干预,能够提高治疗及护理依从性,减少呼吸机相关性肺炎的发生,预防非发生计划性拔管,患者及家属对护理满意高.
Objective To observe the effect of nursing intervention on the patients with mechanical ventilation, and to explore the clinical application value.Methods Sselected 50 patients with mechanical ventilation from January 2015 to June 2015 as the research object, the implementation of nursing intervention, to create a good environment for physical and mental health, to establish effective nurse patient communication, psychological care, oral care, maintaining the appropriate position of endotracheal tube, appropriate endotracheal tube inflatable, to strengthen the respiratory tract wet and warm, to prevent infection, pull out the care.Results By active and effective nursing intervention, treatment and nursing good adherence in 49 cases (98.00%), 4 (8%) patients with ventilator associated pneumonia, Not the planned extubation,47 patients with stable disease, 2 patients with severe illness died, and 1 patients with economic reasons to abandon treatment. Patients and their families were satisfied with nursing care 50 cases (100%).Conclusion Nursing intervention in patients with mechanical ventilation can improve the treatment and nursing compliance, reduce the incidence of ventilator associated pneumonia, and prevent the occurrence of non planned extubation, patients and their families on nursing satisfaction.
出处
《中国继续医学教育》
2015年第31期250-251,共2页
China Continuing Medical Education
关键词
机械通气
气管插管
护理干预
价值
Mechanical ventilation
Endotracheal intubation
Nursing intervention
Value