综合护理干预改善气管切开患者预后的尝试

The Attempt of Comprehensive Nursing Intervention to Improve the Prognosis of Tracheotomy Patients

目的:探讨综合护理干预在毒蛇咬伤患者行气管切开护理中的作用及方法。方法:选择肇庆市第三人民医院住院毒蛇伤行气管切开危重型患者58例,按时间先后顺序分为观察组30例,对照组28例,对照组采用常规治疗及护理,观察组在常规治疗护理的基础上给予心理干预、认知干预、音乐疗法、大蒜液气管内滴入,加强气道管理等综合护理措施。比较两组患者的疗效。结果:观察组患者肺部感染例数明显少于对照组,差异具有统计学意义(P<0.05);观察组气管切开术48 h内发生躁动、非计划拔管例明显少于对照组;观察组有1例患者死亡,死亡率3.3%,对照组有3例患者死亡,死亡率10.7%。结论:应用综合护理干预可以降低毒蛇咬伤患者行气管切术后并发症的发生,改善疾病预后。

Objective To explore the role of comprehensive nursing intervention in tracheostomy care of snakebite patients. Methods 58 cases of critically ill snakebite patients in our hospital were divided into observation group（30 cases） and control group（28 cases） according to chronological order. The control group was treated with conventional therapy and nursing. The observation group was given comprehensive nursing measures, such as psychological intervention, cognitive intervention, musictherapy, garlic liquid infusion and strengthening airway management. The efficacy of the two groups was compared. Results The experimental group patients with pulmonary infection patients was significantly lower than the control group x-2 = 20.48, P 0.05, there was significant difference between the two groups. Observation group tracheotomy within 48 hours of restlessness, unplanned extubation was significantly less than the control group. One patient died and the mortality rate was 3.3 %. In the control group, three patients died and the rate was 10.7 %. Conclusion Comprehensive nursing intervention can reduce snakebite patients with tracheal resection complications and improve prognosis.