摘要
Abstract
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.关键词
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Key words
Refined nursing/Intermittent oxygen-driven humidification intervention/ICU/Incision of trachea/Respiratory function/Complication分类
医药卫生
