危重症专职护理小组干预对呼吸衰竭患者辅助通气治疗的影响

Effect of intensive care team intervention on assisted ventilation therapy in patients with respiratory failure

目的探析呼吸衰竭患者行辅助通气治疗中应用危重症专职护理小组干预的效果。方法选取2016年6月~2018年10月在我院接受辅助通气治疗的64例呼吸衰竭患者作为研究对象,按照随机数字表法将其分为对照组与研究组,每组各32例。对照组患者给予常规护理,研究组患者采用危重症专职护理干预。观察两组患者干预前后的血气指标[动脉血氧分压(PaO2)、血氧饱和度(SaO2)、动脉二氧化碳分压(PaCO2)、pH值]、ICU入住时间、有创通气时间、总通气时间、总满意度及不良事件(再插管及呼吸机相关肺炎感染)发生情况。结果两组患者干预前的PaO2、SaO2、PaCO2及pH值比较,差异无统计学意义(P>0.05);两组患者干预后的PaO2、SaO2、pH值均高于干预前,PaCO2均低于干预前,差异有统计学意义(P<0.05);研究组患者干预后的PaO2、SaO2、pH值均高于对照组,PaCO2低于对照组,差异有统计学意义(P<0.05)。研究组患者的ICU入住时间、有创通气时间及总通气时间均短于对照组,差异有统计学意义(P<0.05)。研究组患者的护理总满意度高于对照组,差异有统计学意义(P<0.05)。研究组患者的不良事件总发生率低于对照组,差异有统计学意义(P<0.05)。结论在呼吸衰竭患者行辅助通气治疗中施以危重症专职护理小组干预,可有效改善患者的血气指标,并缩短通气治疗时间,减少相关不良事件的发生,促使患者及早康复,值得推广应用。

Objective To explore the effect of intensive care team intervention on respiratory failure patients undergoing assisted ventilation therapy.Methods Sixty-four patients with respiratory failure who were treated with assisted ventilation in our hospital from June 2016 to October 2018 were selected as research objects and they were divided into the control group and the study group according to the random number table method,32 cases in each group.The control group was given the routine nursing,and the study group was given the intensive care team intervention.The blood gas indexes([arterial oxygen partial pressure[PaO2],blood oxygen saturation[SaO2],arterial carbon dioxide partial pressure[PaCO2],pH value)before and after intervention,ICU stay time,invasive ventilation time,total ventilation time,total satisfaction,and the incidence of adverse events(reintubation and ventilator-associated pneumonia infection)were observed in the two groups.Results There were no significant differences in PaO2,SaO2,PaCO2 and pH value between the two groups before intervention(P>0.05).The PaO2,SaO2 and pH value of the two groups after intervention were higher than those before intervention,the PaCO2 was lower than that before intervention,and the differences were statistically significant(P<0.05).The PaO2,SaO2 and pH value of the study group after intervention were higher than those of the control group,the PaCO2 was lower than that of the control group,and the differences were statistically significant(P<0.05).The ICU stay time,invasive ventilation time and total ventilation time of the study group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The total satisfaction of nursing in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The total incidence rate of adverse events in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of respiratory failure patients with assisted ventilation,the use of intensive care team intervention can effectively improve blood gas indexes,shorten the duration of ventilation treatment,reduce the incidence of related adverse events,and promote the early recovery of patients,which is worthy of promotion and application.