Nursing methods and key points of ventilator weaning for critically ill patients in ICU
ICU呼吸重症患者呼吸机撤机时的护理方法和要点

摘要

目的 分析ICU呼吸重症患者呼吸机撤机时护理方法和要点，旨在提高护理效果，保障患者的安全。方法 选取我院近两年（2019年1月-2021年1月）收治的ICU呼吸重症患者80例。按照回顾临床资料分析，将实施综合护理干预模式的40例患者作为观察组，将实施常规护理干预模式的40例患者作为对照组。观察两组护理干预效果（包括一次撤机成功率、撤机时间以及并发症发生率、患者对护理满意度等情况）。结果 观察组患者一次撤机成功率高于对照组，差异有统计学意义（P<0.05）；观察组撤机时间短于对照组，差异有统计学意义（P<0.05）；观察组并发症率低于对照组，差异明显有统计学意义（P<0.05）；观察组对护理满意度高于对照组，差异有统计学意义（P<0.05）。结论 通过对ICU呼吸重症患者呼吸机撤机时采用综合护理干预，优化护理细节，可提高一次撤机成功率，减少相关并发症的发生，同时还能缩短撤机时间，提高患者满意度，对促进其康复有积极意义。

Abstract

Objective To analyze the nursing methods and key points of ventilator weaning for critically ill patients in ICU, aiming to improve the nursing effect and ensure the safety of patients.
Methods A total of 80 patients with severe respiratory illness in ICU admitted to our hospital in the past two years (January 2019-January 2021) were selected. According to the analysis of retrospective clinical data, 40 patients who implemented the comprehensive nursing intervention mode were selected as the observation group, and 40 patients who implemented the routine nursing intervention mode were selected as the control group. The nursing intervention effect (including one-time weaning success rate, weaning time, complication rate, patients' satisfaction with nursing, etc.) were observed in the two groups.
Results The success rate of one-time weaning in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05); the weaning time in the observation group was shorter than that in the control group, and the difference was statistically significant (P<0.05). The rate of nursing was lower than that of the control group, and the difference was statistically significant (P<0.05). The nursing satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05).
Conclusion   By adopting comprehensive nursing intervention for ventilator weaning in critically ill ICU patients and optimizing nursing details, the success rate of one-time weaning can be improved, the occurrence of related complications can be reduced, the weaning time can be shortened, and patient satisfaction can be improved. It is of positive significance to promote its recovery.