精细化护理联合间歇氧驱动湿化干预对ICU气管切开患者呼吸功能及并发症的影响OA
Effect of Refined Nursing Combined with Intermittent Oxygen-driven Humidification Intervention on Respiratory Function and Complications in ICU Patients Undergoing Incision of Trachea
目的 分析精细化护理联合间歇氧驱动湿化干预对ICU气管切开患者呼吸功能及并发症的影响.方法 选取吉安市中心人民医院ICU病房收治的气管切开术患者 62 例为研究对象,按照随机数字表法将患者分为对照组(n=31)、研究组(n=31).对照组予以常规护理干预,研究组予以精细化护理联合间歇氧驱动湿化干预.比较两组痰液黏稠度、不良反应(刺激性咳嗽、痰痂形成、气道黏膜损伤、肺部感染)发生率、舒适度(GCQ评分)、呼吸功能[第 1 秒用力呼气容积(FEV1)、一秒率(FEV1/FVC)、动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)]、护理满意度.结果 研究组Ⅰ度痰液黏稠度比例高于对照组,而Ⅱ度、Ⅲ度、Ⅳ度痰液黏稠度比例低于对照组(P＜0.05);研究组不良反应发生率为 6.45%,低于对照组的 29.03%(P＜0.05);护理后,两组GCQ各维度评分均高于护理前,且研究组GCQ各维度评分高于对照组(P＜0.05);护理后,两组FEV1、FEV1/FVC、PaO2 水平均高于护理前,而PaCO2 水平均低于护理前,且研究组FEV1、FEV1/FVC、PaO2 水平均高于对照组,而PaCO2 水平低于对照组(P＜0.05);研究组护理满意度为 96.77%,高于对照组的 74.19%(P＜0.05).结论 精细化护理联合间歇氧驱动湿化干预在ICU气管切开患者中的应用效果确切,可有效降低患者的排痰黏稠度及不良反应发生率,提高患者舒适度、满意度及呼吸功能,值得临床应用.
Objective To analyze the effect of refined nursing combined with intermittent oxygen-driven humidification intervention on respiratory function and complications in ICU patients undergoing incision of trachea.Methods Sixty-two patients with incision of trachea admitted to the ICU ward of Ji'an Central People's Hospital were selected as the study subjects.The patients were divided into control group(n=31)and study group(n=31)according to the random number table method.The control group was given routine nursing intervention,and the study group was given refined nursing combined with intermittent oxygen-driven humidification intervention.The sputum viscosity,incidence of adverse reactions(irritating cough,sputum scab formation,airway mucosal injury,pulmonary infection),comfort(GCQ score),respiratory function[forced expiratory volume in one second(FEV1),forced expiratory volume in one second/forced vital capacity(FEV1/FVC),arterial partial pressure of oxygen(PaO2),arterial partial pressure of carbon dioxide(PaCO2)]and nursing satisfaction were compared between the two groups.Results The proportion of Ⅰ degree sputum viscosity in the study group was higher than that in the control group,while the proportion of Ⅱ degree,Ⅲ degree and Ⅳ degree sputum viscosity was lower than that in the control group(P<0.05).The incidence of adverse reactions in the study group was 6.45%,which was lower than 29.03%in the control group(P<0.05).After nursing,the scores of each dimension of GCQ in the two groups were higher than those before nursing,and the scores of each dimension of GCQ in the study group were higher than those in the control group(P<0.05).After nursing,the levels of FEV1,FEV1/FVC and PaO2 in the two groups were higher than those before nursing,while the level of PaCO2 was lower than that before nursing;meanwhile,the levels of FEV1,FEV1/FVC and PaO2 in the study group were higher than those in the control group,while the level of PaCO2 was lower than that in the control group(P<0.05).The nursing satisfaction of the study group was 96.77%,which was higher than 74.19%of the control group(P<0.05).Conclusion Refined nursing combined with intermittent oxygen-driven humidification intervention is effective in patients with incision of trachea in ICU,which can effectively reduce the sputum viscosity and incidence of adverse reactions,and improve their comfort,satisfaction and respiratory function.It is worthy of clinical application.
罗丽丽;周丽梅
吉安市中心人民医院/上海市东方医院吉安医院重症医学科,江西 吉安 343000吉安市中心人民医院/上海市东方医院吉安医院内分泌科,江西 吉安 343000
医药卫生
精细化护理间歇氧驱动湿化干预ICU气管切开呼吸功能并发症
Refined nursingIntermittent oxygen-driven humidification interventionICUIncision of tracheaRespiratory functionComplication
《医学信息》 2026 (4)
170-174,5
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