摘要
目的分析以根本原因分析法(RCA)为导向的针对性护理在主动脉夹层术后低氧血症患者干预中应用价值。方法回顾性分析泉州市第一医院心外科于2019年1月至2022年12月收治的89例行主动脉夹层手术患者临床症状,根据其不同护理方案分组,将实施常规护理患者44例纳入对照组,将实施以RCA为导向的针对性护理患者45例纳入研究组。比较两组患者护理前后的血气指标、呼吸频率和呼吸道舒适度评分,统计两组患者拔管后72 h内低氧血症、再次插管率。结果护理后,研究组氧合指数、血氧饱和度、血氧分压均高于对照组(均P<0.05)。护理后,研究组呼吸频率、咽喉疼痛评分和口、鼻腔干燥程度评分、拔管后72 h内低氧血症发生率、再次插管率均低于对照组(均P<0.05)。结论以RCA为导向的针对性护理在主动脉夹层术后低氧血症患者干预中,可减轻呼吸道不适症状,缓解呼吸急促症状,改善其术后氧合状态,降低低氧血症发生率和再次插管发生率。
Objective To analyze the application value of targeted nursing based on root cause analysis(RCA)in the intervention of patients with hypoxemia after aortic dissection.Methods The clinical symptoms of 89 patients undergoing aortic dissection admitted to the Department of Cardiac Surgery of Quanzhou No.1 Hospital from January 2019 to December 2022 were retrospectively analyzed.According to their different nursing plans,44 patients receiving routine nursing were included in the control group,and 45 patients receiving RCA-based targeted nursing were included in the study group.Blood gas indexes,respiratory frequency and respiratory comfort scores of the two groups were compared before and after care,and the rates of hypoxemia and re-intubation within 72 h after extubation were calculated.Results After care,the oxygenation index,blood oxygen saturation,and blood oxygen partial pressure of the study group were higher than those of the control group(all P<0.05).After nursing,the respiratory frequency,sore throat score and dryness of mouth and nasal cavity score,incidence of hypoxemia within 72 h after extubation,and reintubation rate of the study group were lower than those of the control group(all P<0.05).Conclusions RCA-based targeted nursing in the intervention of patients with hypoxemia after aortic dissection can alleviate respiratory discomfort symptoms,relieve symptoms of shortness of breath,improve postoperative oxygenation status,and reduce the incidence of hypoxemia and re-intubation.
作者
黄育聪
HUANG Yucong(Quanzhou No.1 Hospital,Quanzhou 362000,China)
出处
《中国医药指南》
2024年第2期176-178,共3页
Guide of China Medicine
