摘要
目的探讨基于循环质控理论的管道护理在重症监护室(ICU)气管切开患者中的应用效果。方法选择2022年1月至2022年12月河南省肿瘤医院收治的58例接受常规管道管理的气管切开患者为对照组,选择2023年1月至2023年12月河南省肿瘤医院收治的58例接受基于循环质控理论的管道护理的气管切开患者为观察组。2组患者自气管切开当日开始接受护理干预,持续至转出ICU。比较2组患者气囊气管套管佩戴时间和ICU住院时间;分别于干预前、干预5 d后比较2组患者痰液黏稠度;统计2组患者护理不良事件及并发症发生情况。结果观察组和对照组患者气囊气管套管佩戴时间分别为(7.33±1.32)、(8.20±1.45)d,ICU住院时间分别为(9.15±1.60)、(11.18±2.02)d,观察组患者气囊气管套管佩戴时间和ICU住院时间均显著短于对照组(P<0.05)。干预前,2组患者痰液黏稠度分级比较差异无统计学意义(P>0.05);干预5 d后,对照组痰液黏稠度Ⅰ度、Ⅱ度、Ⅲ度患者占比与干预前比较差异无统计学意义(P>0.05);干预5 d后,观察组痰液黏稠度Ⅰ度患者占比显著高于干预前,Ⅱ、Ⅲ度患者占比显著低于干预前,且观察组Ⅰ度患者占比显著高于对照组,Ⅱ、Ⅲ度患者占比显著低于对照组(P<0.05)。2组患者护理不良事件发生率分别为1.72%(1/58)、8.62%(5/58),观察组患者护理不良事件发生率略低于对照组,但差异无统计学意义(χ^(2)=1.582,P=0.209)。2组患者并发症发生率分别为5.17%(3/58)、17.24%(10/58),观察组患者并发症发生率显著低于对照组(χ^(2)=4.245,P=0.039)。结论基于循环质控理论的管道护理能减轻ICU气管切开患者痰液黏稠度,降低并发症发生率,且护理不良事件发生率也有所下降,气囊套管佩戴时间与ICU住院时间显著缩短,更利于患者早期康复。
Objective To explore the application effect of pipeline nursing based on circulation quality control theory on patients with tracheostomy in the intensive care unit(ICU).Methods A total of 58 tracheostomy patients receiving routine pipeline management admitted to ICU in Henan Cancer Hospital from January 2022 to December 2022 were included in the control group,and 58 tracheostomy patients receiving pipeline nursing based on circulation quality control theory admitted to ICU in the same hospital from January 2023 to December 2023 were included in the observation group.All patients received nursing intervention from the day of tracheostomy and continued until they were transferred out of the ICU.The wearing time of the airbag tracheal tube and ICU hospitalization time between the two groups were compared.Before and 5 days after intervention,the sputum viscosity of patients between the two groups were compared.The incidence of nursing adverse events and complications were compared between the two groups.Results The wearing time of the airbag tracheal tube[(7.33±1.32)days]and the ICU hospitalization time[(9.15±1.60)days]in the observation group were shorter than those in the control group[(8.20±1.45)days,(11.18±2.02)days].Before intervention,there was no statistically significant difference in sputum viscosity grading of patients between the two groups(P>0.05).After 5 days of intervention,there was no statistically significant difference in the proportion of sputum viscosity gradeⅠand gradeⅡ-Ⅲcompared to before intervention in the control group(P>0.05).After 5 days of intervention,the proportion of sputum viscosity gradeⅠin the observation group was significantly higher than that before intervention,and the proportion of gradeⅡ-Ⅲwas significantly lower than that before intervention.Additionally,the proportion of gradeⅠin the observation group was significantly higher than that in the control group,and the proportion of gradeⅡ-Ⅲwas significantly lower than that in the control group(P<0.05).The incidence of adverse nursing events in the observation group[1.72%(1/58)]was slightly lower than that in the control group[8.62%(5/58)],but the difference was not statistically significant(χ^(2)=1.582,P=0.209).The incidence of complications in the observation group and the control group was 5.17%(3/58)and 17.24%(10/58),respectively;the incidence of complications in the observation group was lower than that in the control group(χ^(2)=4.245,P=0.039).Conclusion Pipeline nursing based on the circulation quality control theory can reduce the viscosity of sputum in ICU tracheostomy patients,reduce the incidence of complications,and also reduce the incidence of nursing adverse events.The wearing time of airbag sleeves and ICU hospitalization time are shortened,which is more conducive to the early recovery of patients.
作者
尚晓辉
杜羿霏
温宝莉
周东民
徐本玲
SHANG Xiaohui;DU Yifei;WEN Baoli;ZHOU Dongmin;XU Benling(Department of Critical Care Medicine,Affiliated Cancer Hospital of Zhengzhou University/Henan Cancer Hospital,Zhengzhou 450008,Henan Province,China)
出处
《新乡医学院学报》
2025年第8期680-685,共6页
Journal of Xinxiang Medical University
基金
河南省医学科技攻关计划省部共建重点项目(编号:SBGJ202102064)。
关键词
重症监护室
气管切开
管道护理
循环质控理论
intensive care unit
tracheotomy
pipeline nursing
circular quality control theory
