摘要
目的分析ICU收治的呼吸衰竭疾病患者在治疗期间接受临床护理路径干预的效果。方法方便选取2015年2月—2017年2月该院ICU收治的呼吸衰竭疾病患者86例,将其随机分为对照组和观察组,每组43例。对照组实施常规呼吸系统疾病护理;观察组实施临床护理路径干预。对比两组患者呼吸功能恢复正常时间、ICU治疗时间、住院治疗总时间、对呼吸衰竭ICU治疗期间护理服务的满意度、救治期间不良事件发生例数、护理干预前后血气分析指标的改善幅度。结果观察组患者呼吸功能恢复正常时间、ICU治疗时间、住院治疗总时间短于对照组,组间差异有统计学意义(P<0.05);对呼吸衰竭ICU治疗期间护理服务的满意度达到95.3%,高于对照组的79.1%,差异有统计学意义(P<0.05);救治期间仅有1例不良事件发生,少于对照组的8例,差异有统计学意义(P<0.05);护理干预前后血气分析指标的改善幅度大于对照组,组间差异有统计学意义(P<0.05)。结论 ICU收治的呼吸衰竭疾病患者在治疗期间接受临床护理路径干预,可以有效改善呼吸功能,缩短ICU和住院治疗总时间,减少不良事件,从而提高患者满意度。
Objective To analyze the effect of clinical nursing path in patients with respiration failure in ICU. Methods Convenient selection 86 cases of patients with respiration failure in ICU admitted and treated in our hospital from February2015 to February 2017 were selected and randomly divided into two groups with 43 cases in each, the control group adopted the routine respiratory system diseases nursing, while the observation group adopted the clinical nursing path intervention, and the respiratory function returning to normal time, ICU treatment time, total length of stay, satisfactory degree to the respiration failure in ICU during the treatment period and occurrence cases of adverse events during the emergency period and improvement range of blood gas analysis indexes before and after nursing intervention were compared between the two groups. Results The differences in the respiratory function returning to normal time, ICU treatment time and length of stay in the observation group were lower than those in the control group, and the differences were statistically significant（P〈0.05）, and the satisfactory degree to the nursing service was higher than that in the control group（95.3% vs 79.1%）, and the difference was statistically significant（P〈0.05）, during the treatment period, there was 1 case with adverse events, which was lower than that in the control group（8 cases） and the difference was statistically significant（P〈0.05）, and the improvement range of blood gas analysis index before and after intervention was higher than that in the control group,and the difference was statistically significant（P〈0.05）. Conclusion The clinical nursing path intervention for patients with respiration failure in ICU can effectively improve the respiratory function, shorten the ICU and length of stay and reduce the adverse events thus improving the satisfactory degree of patients.
出处
《中外医疗》
2017年第17期165-167,共3页
China & Foreign Medical Treatment
关键词
ICU
呼吸衰竭
临床护理路径干预
效果
ICU
Respiratory failure
Clinical nursing path intervention
Effect
