循证护理在人工气道管理中的应用

The application of evidence-based nursing in the management of artificial airway

目的评价循证护理对建立了人工气道的患者的应用效果,为其进一步应用提供参考。方法选择广东省茂名农垦医院建立人工气道的患者78例为研究对象,2016年9月-2017年3月期间的39例为常规护理组采用常规护理,2017年4月-2017年10月期间的39例为循证护理组采用循证护理,比较两组患者肺部感染发生率、人工气道留置时间。结果常规护理组肺部感染率为28.21%,人工气道留置时间为(14.50±1.86)d,而循证护理组肺部感染率为7.69%,人工气道留置时间为(8.73±1.33)d,差异有统计学意义(P<0.05)。结论对建立了人工气道的患者应用循证护理,使患者肺部感染的的发生率明显降低,同时减少了患者的人工气道留置时间,提高了患者的生存质量。

Objective To evaluate the effect of evidence-based nursing on patients with artificial airway and provide reference for its further application.Methods 78 patients under artificial airway in Guangdong Maoming Agricultural Reclamation Hospital were chosen as the research objects,39 cases during September2016 to March 2017 under the routine nursing as the routine nursing group,39 cases during April 2017 to October 2017 under the evidence-based nursing as the evidence-based nursing group.The incidence of pulmonary infection and artificial airway indwelling time were observed in both groups.Results The pulmonary infection rate of routine nursing group was 28.21%,the artificial airway indwelling time was（14.50±1.86） days,while those of the evidence-based nursing group were 7.69% and（8.73±1.33） days,the differences were statistically significant（P〈0.05）.Conclusion The application of evidence-based nursing to patients with established artificial airway significantly reduces the incidence of pulmonary infection,re duces the artificial airway indwelling time,and improve the quality of life about patients.