摘要
目的:探讨新型全程封闭式痰标本采集技术在重症监护病房患者中的应用效果。方法:采用便利抽样法,于2020年4月—2022年1月选取嘉兴市6家医院收治的442例ICU机械通气患者为研究对象,按照入院时间的先后顺序分为对照组(n=221)和试验组(n=221)。对照组采用传统的开放式痰标本采集技术,试验组采用新型全程封闭式痰标本采集技术。比较痰标本采样操作后两组患者心率情况、低血氧饱和度发生率以及痰标本采集时痰液喷溅发生率。结果:试验组患者低血氧饱和度发生率、痰液喷溅发生率均低于对照组,差异有统计学意义(P<0.01)。结论:新型全程封闭式痰标本采集技术可有效稳定ICU患者在痰标本采集过程中的血氧饱和度,降低痰液喷溅发生率,促进患者和医护人员双方安全,值得临床推广应用。
Objective To explore the application effect of new whole-course closed sputum specimen collection technology in intensive care unit patients.Methods From April 2020 to January 2022,the convenient sampling was used to select 442 ICU mechanical ventilation patients admitted to 6 hospitals in Jiaxing City as the research objects.According to the order of admission time,the patients were divided into the control group(n=221)and the experimental group(n=221).The control group adopted the traditional open sputum specimen collection technology,while the experimental group adopted the new whole-course closed sputum specimen collection technology.The heart rate,the incidence of hypooxygen saturation and the incidence of sputum spatter were compared between the two groups after sputum sample sampling.Results The incidences of hypooxygen saturation and sputum spatter in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.01).Conclusions The new whole-course closed sputum specimen collection technology can effectively stabilize the oxygen saturation of ICU patients in the process of sputum specimen collection,reduce the incidence of sputum spatter and promote the safety of both patients and medical staff,which is worthy of clinical promotion and application.
作者
程俊亚
杨小萌
刘学英
金琴
陈文宇
朱丽亚
孙丽娜
殷雅琴
虞鸿
吴春亚
蒋玉琴
Cheng Junya;Yang Xiaomeng;Liu Xueying;Jin Qin;Chen Wenyu;Zhu Liya;Sun Lina;Yin Yaqin;Yu Hong;Wu Chunya;Jiang Yuqin(Department of Nursing,the First Hospital of Jiaxing(Affiliated Hospital of Jiaxing University),Jiaxing 314000,China;Department of Pain Management,the First Hospital of Jiaxing(Affiliated Hospital of Jiaxing University),Jiaxing 314000,China;Department of Nursing Teaching and Research Office,the First Hospital of Jiaxing(Affiliated Hospital of Jiaxing University),Jiaxing 314000,China;Department of Infectious Diseases,the First Hospital of Jiaxing(Affiliated Hospital of Jiaxing University),Jiaxing 314000,China;Department of Respiration,the First Hospital of Jiaxing(Affiliated Hospital of Jiaxing University),Jiaxing 314000,China;Intensive Care Unit,Jiaxing Hospital of Traditional Chinese Medicine,Jiaxing 314001,China;Intensive Care Unit,Haining People's Hospital,Jiaxing 314400,China;Intensive Care Unit,Haiyan People's Hospital,Jiaxing 314300,China;Intensive Care Unit,the NO.1 People's Hospital of Pinghu,Jiaxing 314200,China;Intensive Care Unit,the First People's Hospital of Tongxiang,Jiaxin 314500g,China;Intensive Care Unit,the First People's Hospital of Jiashan,Jiaxing 314100,China)
出处
《中华现代护理杂志》
2022年第33期4709-4712,共4页
Chinese Journal of Modern Nursing
基金
浙江省医药卫生科技计划项目(2020ZH049)
2019年嘉兴市医学重点学科-临床护理学(创新学科)(2019-cx-02)。
关键词
重症监护病房
痰标本
采集技术
安全性
Intensive care unit
Sputum specimens
Collection technology
Safety