持续气道泵入湿化护理对重症颅脑损伤术后气管切开患者的应用

Application of Continuous Airway Pump Humidification Nursing for Postoperative Tracheostomy Patients with Severe Traumatic Brain Injury

目的探讨持续气道泵入湿化护理对重症颅脑损伤术后气管切开患者的应用效果。方法选取时间段为2023年8月至2024年8月,均为至我院就诊的重症颅脑损伤术后气管切开患者,共计40例。随机数字表法分组,对照组(20例)采取常规护理,观察组(20例)在此基础上,采取持续气道泵入湿化护理,对比两组的气道湿化相关指标、并发症发生率、生活质量、满意度。结果观察组堵管时间、吸痰间隔时间、每日吸痰次数、ICU入住时间均优于对照组(P<0.05);观察组并发症发生率低于对照组,组间比较无统计学意义(P>0.05);术前,两组SF-36生理功能、社会功能、心理职能、精神健康评分均无明显差异(P>0.05),术后1个月,观察组生理功能、社会功能、心理职能、精神健康评分均高于对照组(P<0.05);观察组护理满意度高于对照组,组间比较无统计学意义(P>0.05)。结论持续气道泵入湿化护理模式,便于提高重症颅脑损伤术后气管切开患者的护理质量,护理安全性较高,缩短住院时间,提高护理满意度。

Objective To explore the application effect of continuous airway pump humidification nursing on postoperative tracheostomy patients with severe traumatic brain injury.Methods A total of 40 patients with severe traumatic brain injury who un derwent tracheostomy were selected from the period of August 2023 to August 2024.Random number table method was used to group patients.The control group(20 cases)received routine care,while the observation group(20 cases)received continuous airway pump humidification care.The airway humidification related indicators,incidence of complications,quality of life,and satisfaction were compared between the two groups.Results The tube plugging time,sputum aspiration interval,daily sputum aspiration times and ICU stay time of observation group were better than control group,(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and there was no statistical significance between the two groups,(P>0.05).Before surgery,there were no significant differences in SF-36 physiological function,social function,psychological function and mental health scores between the two groups(P>0.05).One month after surgery,the physiological function,social function,psychological function and mental health scores of the observation group were higher than those of the control group(P<0.05).The nursing satisfaction of observation group was higher than that of control group,and there was no statistical significance between groups(P<0.05).Conclusions The continuous airway pump humidification nursing model is conducive to improving the nursing quality of postoperative tracheostomy patients with severe traumatic brain injury,with high nursing safety,shortened hospital stay,and improved nursing satisfaction.