持续加温湿化护理在重症颅脑损伤气管切开患者中的应用效果

Effectiveness of Continuous Warming and Humidification Care in Tracheotomy Patients with Severe Craniocerebral Injury

目的:分析持续加温湿化护理在重症颅脑损伤气管切开患者中的应用效果。方法:选取2020年3月-2021年9月江苏省东台市人民医院收治的重症颅脑损伤气管切开患者60例为观察对象,采用多阶段分层整群抽样法分为研究组与对照组,各30例。对照组给予持续气道滴注,研究组给予持续加温湿化护理,比较两组患者并发症发生率、家属焦虑状态、护理满意度、湿化效果、呼吸指标。结果:研究组并发症发生率低于对照组,差异有统计学意义(P<0.05);护理后,两组患者家属焦虑自评量表评分均降低,研究组低于对照组,差异有统计学意义(P<0.05);研究组护理满意度高于对照组,差异有统计学意义(P<0.05);研究组Ⅰ度发生率高于对照组,差异有统计学意义(P<0.05);护理后,两组患者血氧饱和度、动脉氧分压水平均升高,呼吸频率均降低,研究组血氧饱和度及动脉血氧分压水平高于对照组,呼吸频率低于对照组,差异有统计学意义(P<0.05)。结论:采用持续加温湿化护理重症颅脑损伤气管切开患者,可减少并发症发生率,减轻家属焦虑情绪,改善呼吸功能、湿化效果较好,护理满意度高。

Objective:To analyze the effect of continuous warming and humidification care in tracheotomy patients with severe craniocerebral injury.Methods:60 cases of tracheotomy patients with severe craniocerebral injury admitted to Dongtai People's Hospital from March 2020 to September 2021 were selected as observation subjects and divided into study group and control group with 30 cases each using multi-stage stratified whole group sampling method.The control group was given continuous airway drip,and the study group was given continuous warming and humidification care.The complication rate,family anxiety status,nursing satisfaction,wetting effect,and respiratory index were compared between the two groups.Results:The incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).After care,the anxiety self-rating scale scores of family members of patients in both groups were reduced,and the study group was lower than the control group.The difference was statistically significant(P<0.05).Nursing satisfaction in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of degree I in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).After care,blood oxygen saturation and arterial partial pressure of oxygen levels increased and respiratory rate decreased in both groups.The blood oxygen saturation and arterial partial pressure of oxygen levels in the study group were higher than those in the control group,and the respiratory rate was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The use of continuous warming and humidification care for tracheotomy patients with severe craniocerebral injury can reduce the incidence of complications,alleviate the anxiety of family members,improve respiratory function,with better humidification effect,and high nursing satisfaction.