集束化气道护理在颅脑损伤患者气管切开术后的应用效果

Application effects of bundled airway nursing in tracheotomy patients with craniocerebral injuries

目的:观察集束化气道护理在颅脑损伤患者气管切开术后的应用效果。方法:选取106例颅脑损伤行气管切开术患者为研究对象,按随机数字表法将其分为观察组和对照组各53例。对照组采用常规护理,观察组在对照组基础上采用集束化气道护理,比较两组护理前及护理1周后急性病理生理与慢性健康评分(APACHEⅡ)、置管时间、ICU入住时间、日吸痰量、吸痰次数、并发症发生率和护理满意度。结果:观察组APACHEⅡ评分低于对照组,差异有统计学意义(P<0.05);观察组置管时间、ICU入住时间均短于对照组,吸痰次数、每日吸痰量均少于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为94.34%,高于对照组的75.47%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用集束化气道护理可降低颅脑损伤气管切开术后患者APACHEⅡ评分和并发症发生率,缩短置管时间和ICU入住时间,减少吸痰次数和每日吸痰量,以及提高护理满意度,其效果优于单纯常规护理。

Objective:To observe application effects of bundled airway nursing in tracheotomy patients with craniocerebral injuries.Methods:106 patients with craniocerebral injuries who underwent tracheotomy were selected as the research objects,and were divided into observation group and control group according to the random number table method,53 cases in each group.The control group received routine nursing,while the observation group was given the bundled airway nursing on the basis of that of the control group.The acute pathophysiology and chronic health(APACHE II)score,the intubation time,the ICU stay time,the daily sputum suction volume,the sputum suction frequency,the incidence of complications and the nursing satisfaction were compared between the two groups before nursing and 1 week after the nursing.Results:The APACHE II score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The intubation time and the ICU stay time of the observation group were shorter than those of the control group,the sputum suction frequency and the daily sputum suction volume were less than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 94.34%,which was higher than the control group of 75.47%,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the bundled airway nursing can reduce the APACHE II score and the incidence of complications in the tracheotomy patients with craniocerebral injuries and shorten the intubation time and the ICU stay time,reduce the sputum suction frequency and the daily sputum suction volume,and improve the nursing satisfaction.Moreover,it is superior to single routine nursing.