人工气道护理中实施重点环节精细化管理的效果观察

Observation on the Effect of Fine Management of Key Links in Artificial Airway Nursing

目的:探究对人工气道护理中的重点环节进行精细化管理的效果。方法:以2018年1-12月笔者所在医院收治的建立人工气道的100例患者为研究对象,随机分为研究组、对照组,各50例,对照组常规方式护理,研究组对护理重点环节进行精细化管理,比较护理后两组各指标的差异。结果:人工气道建立3~5 d及6~10 d后,研究组呼吸机相关性肺炎、肺部感染发生率均低于对照组,差异均有统计学意义(χ^2=4.330、6.250、4.340、8.570,P=0.037、0.012、0.037、0.003);干预后,研究组治疗时间、机械通气时间均短于对照组,差异均有统计学意义(t=12.634、9.668,P=0.000、0.000)。结论:对人工气道护理中的重点环节进行精细化管理可有效减少患者相关并发症的发生,同时可缩短其机械通气时间,有助于临床效果的改善。

Objective:To explore the effect of fine management of key links in artificial airway nursing.Method:A total of 100 patients with artificial airway from January to December 2018 in our hospital were randomly divided into the study group and the control group,50 cases in each group.The control group received routine nursing care.The study group carried out fine management of key nursing links.The differences of each index between the two groups after intervention were compared.Result:After the artificial airway was established for 3 to 5 days and 6 to 10 days,the incidence of ventilator-associated pneumonia in the study group were lower than those in the control group,the differences were statistically significant(χ^2=4.330,6.250,4.340,8.570,P=0.037,0.012,0.037,0.003).After intervention,the treatment time and mechanical ventilation time in the study group were shorter than those in the control group,the differences were statistically significant(t=12.634,9.668,P=0.000,0.000).Conclusion:Fine management of key links in artificial airway nursing can effectively reduce the incidence of complications related to patients,shorten the time of mechanical ventilation,and help improve the clinical effect.