摘要
目的探讨预见性气道护理模式在肝脏移植术后患者中的应用效果。方法选择2015年10月—2021年10月医院收治的肝脏移植手术患者100例为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,每组50例。对照组术后予以常规护理,观察组术后予以预见性气道护理模式,比较两组的肺功能、气道湿化度、康复指标、撤机成功率及气道相关并发症的发生率。结果预见性气道护理模式护理后,观察组患者的每分钟最大通气量(MVV)、用力通气量(FVC)及第1秒用力呼气量(FEV1)均高于对照组(P<0.05);气道湿化度优于对照组(P<0.05);ICU入住时间及机械通气时间均短于对照组(P<0.05);观察组的撤机成功率高于对照组,气道相关并发症的发生率低于对照组(P<0.05)。结论预见性气道护理模式在肝脏移植术后患者中的应用,可改善患者肺功能与气道湿化程度,促进患者术后康复,提升撤机成功率,降低气道相关并发症的发生率。
Objective To explore the effect of predictive airway nursing model in patients after liver transplantation.Methods 100 liver transplant patients admitted in the hospital from October 2015 to October 2021 were selected as the study subjects.According to the principle of comparability of basic characteristics between groups,they were divided into a control group and an observation group,with 50 patients in each group.The control group was given routine nursing after operation,and the observation group was given predictive airway nursing model after operation.Lung function,airway humidification,rehabilitation indicators,success rate of debridement and incidence of airway related complications were compared between the two groups.Results After predictive airway nursing,Maximum Ventilationry Volume(MVV),Forced Vital Capacity(FVC)and Forced Expiratory Volume in One Second(FEV1)in the observation group were higher than the control group(P<0.05).Airway humidifi cation was better than the control group(P<0.05).ICU stay time and mechanical ventilation time were shorter than the control group(P<0.05).The success rate of evacuation in observation group was higher than the control group,and the incidence of airway related complications was lower than the control group(P<0.05).Conclusion The application of predictive airway nursing model in patients after liver transplantation could improve the lung function and the degree of airway humidifi cation and promote the operation of patients after rehabilitation,improve the success rate of deactivation and reduce the incidence of airway related complications.
作者
沈传宇
吕平
姜乐乐
陈瑶
SHEN Chuanyu;LV Ping;JIANG Lele;CHEN Yao(Shanghai Changzheng Hospital,Shanghai,200003,China)
出处
《护理实践与研究》
2022年第15期2311-2315,共5页
Nursing Practice and Research
关键词
预见性气道护理模式
肝脏移植术
机械通气
撤机成功率
肺功能
并发症
Predictive airway nursing model
Liver transplantation
Mechanical ventilation
Success rate of disengagement
Lung function
Complications
