综合气道护理管理方案在气管切开患者术后康复中的应用效果

Application of comprehensive airway nursing management program in the patients with postoperative rehabilitation after tracheotomy

目的探讨综合气道护理管理方案在气管切开患者术后康复中的应用效果。方法选取2013年1月至2015年12月我院行气管切开术后康复的患者31例为对照组,28例为观察组。对照组采用气管切开常规护理方法实施气道护理管理,观察组采用综合气道护理管理方案。比较两组患者护理后刺激性咳嗽、痰液黏稠、呼吸道黏膜出血等症状改善情况,比较切开置管时间、住院时间及并发症发生情况。结果观察组干预后刺激性咳嗽、痰液黏稠及呼吸道黏膜出血症状发生率低于治疗前和对照组(P<0.05);观察组切开置管时间、住院时间均短于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论综合气道护理管理方案可改善气管切开术后刺激性咳嗽、痰液黏稠及呼吸道黏膜出血症状,降低并发症发生率,促进患者康复。

Objective To explore the effect of comprehensive airway nursing management program in the patients with postoperative rehabilitation after tracheotomy. Methods From January 2013 to December 2015, 31 cases of patients with tracheotomy were selected as control group, and another 28 cases of patients with tracheotomy were selected as observation group. The control group accepted conventional nursing method, and the observation group received comprehensive airway nursing management program. The improved conditions of irritating cough, viscous sputum, respiratory mucosal hemorrhage after nursing, cannulated time, hospitalization time and the incidence of complications between the two groups were compared. Results After nursing, the occurrence rates of irritating cough, viscous sputum and respiratory mucosal hemorrhage in the observation group were lower than those before nursing and in the control group （P〈0.05）. The eannulated time and hospitalization time in the observation group were shorter than those in the control group （P〈0.05）. The incidences of complications in the observation group were lower than those in the control group （P〈0.05）. Conclusion Comprehensive airway nursing management program can improve the conditions of irritating cough, viscous sputum and respiratory mucosal hemorrhage, and reduce the incidence of complications, improve recovery of patients.