交替俯卧通气方案结合AIDET沟通模式在重症肺炎清醒患者中的应用

Effects of alternating prone ventilation based on AIDET communication mode on sober patients with severe pneumonia

目的:分析对重症肺炎过渡病房72例清醒患者实施基于AIDET沟通模式的交替俯卧位通气方案的效果,为护士制定针对性的管理方案提供依据。方法:采用便利抽样方法,选取2022年12月29日至2023年2月1日在浙江省某三家医院实施俯卧位通气的72例重症肺炎清醒患者,实施基于AIDET沟通模式的交替俯卧通气方案并收集数据。结果:大侧俯卧位(120度)与半俯卧位(90度)交替持续时间最长,为(2.20±0.74)h,实施1 h后88.9%的患者血氧饱和度改善。结论:基于AIDET沟通模式的交替俯卧通气方案,规范了清醒患者俯卧位通气的流程,提升了患者的舒适度,尊重了患者的意愿,延长了俯卧位持续时间,减少了并发症的发生,从而改善患者的临床结局。

Objective:To investigate the effects of alternating prone ventilation based on AIDET communication mode on 72 sober patients in ICU.Methods:A total of 72 sober patients with severe pneumonia who received prone ventilation in the Step Down wards of three hospitals in Zhejiang Province from December 29,2022 to February 1,2023 were selected as subjects by convenience sampling method.Alternate prone ventilation scheme based on AIDET communication mode was implemented and data were collected.Results:The alternation between semi-prone position(120 degrees)and semi-prone position(90 degrees)lasted the longest(2.20±0.74)h,and 88.9%of patients'blood oxygen saturation improved after 1 hour of ventilation.Patients felt more comfortable during the process.Conclusion:The alternating prone ventilation scheme based on AIDET communication mode for conscious patients standardizes the process of prone ventilation,improves the comfort and respects the wishes of patients,prolongs the duration of prone position and reduces the occurrence of complications to improve the clinical outcome of patients.