集束化护理干预对PICU人工气道患儿痰痂堵管及感染的影响

Effect of cluster nursing intervention on sputum scab blockage and infection of patients with artificial airway in PICU

目的探讨PICU人工气道患儿开展集束化护理对其痰痂堵管及感染的影响。方法选择2018年2月至2019年2月本院收治的84例PICU人工气道患儿作为研究对象,随机分为对照组和观察组各42例。对照组给予常规护理,观察组给予集束化护理。对比两组患儿痰痂堵管、感染、痰液性质及恢复情况。结果干预后,观察组痰痂形成发生率、气道堵管率、肺部感染发生率较对照组低,痰液黏稠情况优于对照组,患儿ICU住院时间与机械通气时间较对照组短,差异均有统计学意义(P<0.05)。结论对PICU人工气道患儿开展集束化护理,能够显著降低痰管结痂及堵管的发生率,减少肺部感染,有助于改善气道通气效果,缩短住院时间,加快康复进程,值得在PICU患儿的临床护理中推广应用。

Objective To investigate the effect of cluster nursing intervention on sputum scab blockage and infection of patients with artificial airway in PICU.Methods A total of 84 patients with artificial airway in PICU from February 2018 to February 2019 were selected as subjects.They were randomly divided into control group(n=42,routine nursing)and observation group(n=42,cluster nursing).The sputum scab blockage,infection,nature of sputum,recovery were compared between two groups.Results After intervention,the incidence of sputum scab formation,artificial airway blockage and pulmonary infection in observation group was lower than that in control group(P<0.05).The sticky sputum of observation group was better than that of control group(P<0.05).The ICU stays and mechanical ventilation time in observation group were shorter than those in control group(P<0.05).Conclusion Cluster nursing for patients with artificial airway in PICU can decrease the incidence of sputum scab and blockage,reduce pulmonary infection,improve airway ventilation,shorten hospital stays,and accelerate rehabilitation,which is worthy of promotion and application in clinical nursing of PICU patients.