分级气道护理在成批烟雾吸入性损伤患者中的应用效果及对情绪、睡眠状态的影响

The Application Effect of Grading Care for Airway in Patients with Mass Smoke Inhalation Injury and Influence for Emotion and Sleep State

目的:探究分级气道护理在成批烟雾吸入性损伤患者中的应用效果及对情绪、睡眠状态的影响。方法:将2019年6月—2022年2月中国人民解放军联勤保障部队九一〇医院的80例成批烟雾吸入性损伤患者根据随机数字表法分为对照组和观察组,各40例。对照组进行常规护理,观察组则进行分级气道护理。比较两组的后遗症发生情况、干预前后的损伤情况[支气管镜简明损伤(AIS)评分]、情绪状态[焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分]及睡眠状态[匹兹堡睡眠质量指数(PSQI)]。结果:6个月后,观察组的后遗症发生率显著低于对照组,差异有统计学意义(P<0.05)。干预前两组的AIS评分、SAS评分、SDS评分及PSQI评分比较,差异均无统计学意义(P>0.05)。干预后1周及3周两组的AIS评分、SAS评分、SDS评分及PSQI评分均显著优于干预前,且观察组的上述评分均显著优于对照组,差异均有统计学意义(P<0.05)。结论:分级气道护理在成批烟雾吸入性损伤患者中的应用效果较好,且可显著改善患者的情绪及睡眠状态。

Objective:To investigate the application effect of grading care for airway in patients with mass smoke inhalation injury and influence for emotion and sleep state.Method:A total of 80 patients with mass smoke inhalation injury in the 910th Hospital of China Joint Logistics Support Force of the People's Liberation Army from June 2019 to February 2022 were divided into the control group 40 cases and the observation group 40 cases by the method of random number table.The control group was treated with routine nursing,the observation group was treated with grading care for airway.Then the sequelae rates,injury situation[abbreviated injury severity scale(AIS)score],emotion state[self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score]and sleep state[Pittsburgh sleep quality index(PSQI)]before and after intervention of two groups were compared.Result:The sequelae rate of the observation group at sixth month was significantly lower than that of control group,the difference was statistically significant(P<0.05).The AIS scores,SAS scores,SDS scores and PSQI scores of two groups before intervention were compared,the differences were not statistically significant(P>0.05).The AIS scores,SAS scores,SDS scores and PSQI scores of the observation group at 1 and 3 weeks after intervention were all significantly better than those of the control group,and those scores of the observation group were all significantly better than those of control group,the differences were statistically significant(P<0.05).Conclusion:The application effect of grading care for airway in patients with mass smoke inhalation injury is better,and its can significantly improve the emotion and sleep state of patients.