摘要
目的 为有效降低急诊抢救呼吸衰竭实施高流量吸氧患者在护理过程中发生的呼吸抑制、氧中毒等不良反应发生的风险，提高患者满意度，对加强护理风险管理的应用效果作进一步探究，为临床提供有效参考依据。方法 回顾性分析2021年6月-2022年6月期间在本院急诊科接受治疗抢救的呼吸衰竭患者为研究对象，共计60例，按接收抢救治疗顺序平均分为对照组和观察组（每组各30例），两组患者均实施高流量吸氧治疗与常规护理。结果 统计研究表明，通过采用护理风险管理干预措施的观察组患者不良反应发生率明显低于对照组，各项血气分析指标：二氧化碳分压（PaCO2）、动脉血氧分压（PaO2）、碱剩余（BE）均较对照组相比更优，护理满意度更高，组间数据差异明显，P＜0.05，说明存在对比意义。结论 分析表明，护理风险管理对急诊抢救呼吸衰竭行高流量吸氧患者的呼吸抑制、氧中毒等不良反应发生率有显著降低作用，对此方案可建议大力推广应用。
关键词： 呼吸衰竭；高流量吸氧；急诊护理；护理风险管理
Abstract
Objective To effectively reduce the risk of respiratory depression, oxygen poisoning and other adverse reactions in the nursing process of emergency rescue patients with respiratory failure, improve patient satisfaction, further explore the application effect of strengthening nursing risk management, and provide effective reference for clinic. Methods 60 patients with respiratory failure who were treated and rescued in the emergency department of our hospital from June 2021 to June 2022 were retrospectively analyzed. They were equally divided into the control group and the observation group (30 patients in each group) according to the order of receiving rescue treatment. Both groups were treated with high-flow oxygen inhalation and routine nursing. Results The statistical study showed that the incidence of adverse reactions in the observation group was significantly lower than that in the control group, and the indexes of blood gas analysis, such as partial pressure of carbon dioxide (PaCO 2), partial pressure of arterial oxygen (PaO2) and residual alkali (BE), were better than those in the control group, with higher nursing satisfaction and significant differences in data between the two groups (P < 0.05), which indicated that there was a comparative significance. Conclusion The analysis shows that nursing risk management can significantly reduce the incidence of adverse reactions such as respiratory depression and oxygen poisoning in emergency rescue patients with respiratory failure undergoing high-flow oxygen inhalation. This scheme can be suggested.
Key words： respiratory failure; high-flow oxygen; emergency nursing; nursing risk management
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