个性化护理在神经外科危重患者人工气道管理中的干预效果

Intervention Effect of Personalized Nursing in Artificial Airway Management of Critically Ill Patients in Neurosurgery

目的探究个性化护理在神经外科危重患者人工气道管理中的干预效果。方法方便选取该院神经外科2016年8月-2019年8月期间收治的60例危重患者为研究对象,以不同的护理方法将其分为对照组(2016年8月-2017年10月收治)与个性化组(2017年11月-2019年8月收治),每组30例。两组患者均建立人工气道辅助呼吸,其中对照组实施常规护理干预,个性化组在此基础上实施个性化护理干预,比较两组护理护理满意率及不良反应发生率。结果个性化组护理满意率96.67%高于对照组80.00%,差异有统计学意义(χ^2=4.040,P<0.05);个性化组的不良反应发生率6.67%低于对照组26.67%,差异有统计学意义(χ^2=4.320,P<0.05);个性化组并发症发生率为0.00%,对照组并发症发生率为10.00%,两组比较差异无统计学意义(χ^2=3.160,P>0.05)。结论个性化护理在神经外科危重患者人工气道管理中的干预,能够预防并发症,减少不良反应的发生,并能提高患者对护理的满意程度。

Objective To explore the effect of personalized nursing care in artificial airway management of critically ill patients in neurosurgery.Methods A total of 60 critically ill patients admitted in the hospital from August 2016 to August2019 were convenient selected as the research objects,and they were divided into a control group(admitted from August 2016 to October 2017)and individualized group(admitted from November 2017 to August 2019),with different nursing methods;30 cases in each group.Both groups of patients established artificial airway assisted breathing.The control group implemented conventional nursing intervention,and the personalized group implemented personalized nursing intervention on this basis.The two groups were compared with the nursing satisfaction rate and the incidence of adverse reactions.Results The nursing satisfaction rate of the personalized group 96.67%was higher than that of the control group 80.00%,the difference was statistically significant(χ^2=4.040,P<0.05);the adverse reaction rate of the personalized group 6.67%was lower than that of the control group 26.67%,the difference was statistically significant(χ^2=4.320,P<0.05);the complication rate of the personalized group was 0.00%,and the complication rate of the control group was 10.00%.There was no significant difference between the two groups,the difference was statistically significant(χ^2=3.160,P>0.05).Conclusion The intervention of personalized nursing in the artificial airway management of critically ill patients in neurosurgery can prevent complications,reduce the occurrence of adverse reactions,and improve patients’satisfaction with nursing.