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Open Access Article

Contemporary Nursing. 2023; 4: (1) ; 4-6 ; DOI: 10.12208/j.cn.20230002.

Effect of evidence-based nursing on postoperative complications and prognosis of patients with severepneumonia after endotracheal intubation
循证护理对重症肺炎气管插管患者术后并发症及预后的影响

作者: 付蓉 *

西安交通大学第一附属医院 陕西西安

*通讯作者: 付蓉,单位:西安交通大学第一附属医院 陕西西安;

发布时间: 2022-09-14 总浏览量: 221

摘要

目的 循证护理对重症肺炎气管插管患者术后并发症及预后的影响。方法 实验于2020年1月至2020年12月期间选择90例因重症肺炎前来我院接气管插管治疗的病人进行调研,参与本次调研病人除接收对症治疗外还配合了护理干预。按照护理方式将其归纳为2个小组,每组均纳入45例病人。根据护理方式将其命名为常规组与研究组。常规组所采用的护理方案为传统常规护理,研究组所采用的护理方案为循证护理。总结与探究2种护理方案实施效果。结果 常规组病人BE指标水平与研究组相比较高,PaCO2指标水平与研究组相比较高,PaO2指标水平与研究组相比较低,两者对照差异明显,(P<0.05)。结论 循证护理在重症肺炎气管切开术后的应用效果优异,可降低并发症发生率,此方案值得临床应用与普及。

关键词: 循证护理;重症肺炎;气管插管;并发症;预后

Abstract

Objective The effect of evidence-based nursing on postoperative complications and prognosis of patients with severe pneumonia after tracheal intubation.
Methods: During the experiment from January 2020 to December 2020, 90 patients who came to our hospital for tracheal intubation treatment due to severe pneumonia were selected for investigation. The patients who participated in this investigation not only received symptomatic treatment, but also cooperated with nursing intervention. They were divided into 2 groups according to their nursing methods, and each group included 45 patients. They are named routine group and study group according to the nursing style. The nursing program adopted by the routine group was traditional routine nursing, and the nursing program adopted by the research group was evidence-based nursing. Summarize and explore the implementation effect of two nursing programs.
Results: Compared with the research group, the BE index level of the routine group patients was higher, the PaCO2 index level was higher than that of the research group, and the PaO2 index level was lower than that of the research group, with significant differences between the two controls (P<0.05).
Conclusion  : Evidence-based nursing has excellent application effect after tracheotomy for severe pneumonia, and can reduce the incidence of complications. This scheme is worthy of clinical application and popularization.

Key words: evidence-based nursing; severe pneumonia; tracheal intubation; complications; prognosis

参考文献 References

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[2] 李彤. 循证支持下针对性护理在MDR-PA感染重症肺炎患者中的应用观察[J]. 罕少疾病杂志,2022,29(3):51-53. 

[3] 叶志冲,孙妍,高燕,等. 振动排痰仪联合循证护理在重症肺炎伴呼吸衰竭患者中的应用效果[J]. 医疗装备,2022,35(2):142-144. 

引用本文

付蓉, 循证护理对重症肺炎气管插管患者术后并发症及预后的影响[J]. 当代护理, 2023; 4: (1) : 4-6.