人工气道管理小组在ICU人工气道患者护理中的应用
Application of Artificial Airway Management Team in the Nursing of Patients with ICU Artificial Airway
DOI: 10.12677/NS.2019.84063, PDF,   
作者: 孔羽：郑州大学第一附属医院，河南 郑州
关键词: 人工气道管理小组；ICU；干预效果；护理质量；Artificial Airway Management Team； ICU； Intervention Effects； Nursing Quality
摘要: 目的：观察人工气道管理小组在ICU人工气道患者护理中的应用效果。方法：回顾性分析126例ICU人工气道患者临床资料，根据干预方式分为人工气道管理小组干预组(研究组，n = 67)和常规干预组(对照组，n = 59)。比较2组干预效果，观察2组气道湿化、吸痰效果及气囊管理情况，记录干预期间并发症发生情况，干预后评估护理质量。结果：干预后，研究组气道状况、痰液粘稠度情况优于对照组(P < 0.05)；研究组吸痰效果相关指标(吸痰间隔时间、日吸引量、肺部啰音减少率）均大于对照组(P < 0.05)；研究组气囊管理情况相关指标(气囊注气容积、气囊压力、气管黏膜损伤发生率）均小于对照组(P < 0.05)。研究组并发症发生率小于对照组(P < 0.05)。研究组SERVQUAL各维度评分均高于对照组(P < 0.05)。结论：人工气道管理小组在ICU人工气道患者护理中有助于进一步改善患者气道状况，提升气道湿化及吸痰效果，优化气囊管理，降低并发症发生率，从而提升护理质量，较常规干预更具优势。
Abstract: Objective: To observe the application effects of artificial airway management team in the nursing of patients with ICU artificial airway. Methods: The clinical data of 126 patients with ICU artificial airway were retrospectively analyzed. According to the intervention methods, the patients were divided into artificial airway management team intervention group (study group, n = 67) and rou-tine intervention group (control group, n = 59). The intervention effects of the two groups were compared. The airway humidification, phlegm sucking effects and airbag management were ob-served in the two groups. The occurrence of complications during intervention was recorded, and the nursing quality was evaluated after intervention. Results: After intervention, the airway status and sputum viscosity in study group were better than those in control group (P < 0.05). The rele-vant parameters of phlegm sucking (phlegm sucking interval, daily sucking volume, reduction rate of lung rales) in study group were larger than those in control group (P < 0.05). The relevant in-dexes of airbag management (airbag injection volume, airbag pressure, incidence rate of tracheal mucosal injury) in study group were all lower than those in control group (P < 0.05). The incidence rate of complications in study group was lower than that in control group (P < 0.05). The scores of SERVQUAL in all dimensions in study groups were higher than those in control group (P < 0.05). Conclusions: In the nursing of patients with ICU artificial airway, artificial airway management team can further improve the airway status, enhance airway humidification and phlegm sucking effects, optimize airbag management and reduce the incidence rate of complications, thus improving the nursing quality. And it is more advantageous than routine intervention.
文章引用：孔羽. 人工气道管理小组在ICU人工气道患者护理中的应用[J]. 护理学, 2019, 8(4): 336-342. https://doi.org/10.12677/NS.2019.84063

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