摘要
目的 探讨ICU人工气道患者引入品管圈工作模式所产生的护理成效。方法 选取我院于2013年4月-2015年4月期间, 治疗的68例ICU人工气道患者作为研究对象,随机进行分组;对照组采取常规护理,观察组在常规护理的基础上引 入品管圈工作模式;对比两组患者的通气时间、日吸痰次数、堵管情况、非计划拔管情况,结合患者对护理效果 的满意度,综合评价品管圈工作模式对ICU人工气道患者的护理成效。结果 观察组通气时间显著短于对照组,日 吸痰次数显著少于对照组,堵管率、非计划拔管发生率均显著小于对照组;两组数据具有显著性差异(P<0.05); 观察组患者对护理效果的满意度为82.35%,对照组患者对护理效果的满意度为61.76%;两组数据具有显著性差异 (P<0.05)。结论 ICU人工气道患者引入品管圈工作模式所产生的护理成效显著,可缩短通气时间,减少日吸痰次 数、堵管及非计划拔管的发生,协同提高患者对护理的满意度,值得临床推广使用。
Objective To explore the ICU artificial airway patients in the introduction of quality control model of the work of the nursing effect. Methods Sixty-eight ICU patients with ICU artificial airway were selected from April 2013 to April 2015. The patients in the control group were treated with routine nursing. The observation group was based on routine nursing. The two groups of patients with ventilation time, the number of days of suction, blocking the situation, unplanned extubation, combined with the patient's satisfaction with the nursing effect, comprehensive assessment of the mode of operation of ICU artificial airway patients nursing effect. Results The ventilation time of the observation group was significantly shorter than that of the control group, the number of daily aspiration was significantly less than that of the control group. The incidence of obstruction and unplanned extubation were significantly lower than those in the control group. There was significant difference between the two groups (P <0.05) The satisfaction rate of the observation group was 82.35%, and the satisfaction rate of the control group was 61.76%. There was significant difference between the two groups (P<0.05). Conclusion The ICU artificial airway patients have improved the ventilation time, reduced the number of days of suction, the occurrence of obstruction and unplanned extubation, and improved the satisfaction of the patients with nursing care. Worthy of clinical use.
【关键词】ICU人工气道;品管圈工作模式;护理
【中图分类号】R322.3+3
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.05.008
前言
ICU人工气道是指采取呼吸机协助ICU患者呼吸, 将气体泵入及排出肺部的治疗过程,旨在恢复患者的 有效通气及氧合功能[1]。在ICU人工气道的护理中, 专业性较强,包括患者的基础性监测、护理、气道管 理、呼吸机使用、清洁、消毒等。对此,提高对ICU 人工气道的护理管理水平,有利于协同医生提高患者 的疗效,减少不良反应及并发症的发生。近年来,品 管圈工作模式逐渐引入临床护理中,对ICU人工气道 的护理效果显著。品管圈是指将工作相关的人员组成 一人圈,运用各种方法、充分发挥个人潜能、结合团队合作,发现问题、分析问题,并提出针对性强的解 决方案,持续改善各种问题[2]。对此,为进一步提高 对ICU人工气道的护理水平,本研究旨在探讨ICU人工 气道患者引入品管圈工作模式所产生的护理成效。
罕少疾病杂志
第24卷, 第 5 期
2019年11月
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