Observation of cluster nursing in critically ill patients with artificial airways in EICU
集束化护理在EICU危重症人工气道患者中的观察

摘要

目的 验证在急诊重症监护室（Emergency Intensive Care Unit, EICU）危重症人工气道患者护理管理中应用集束化护理所发挥的临床效果。方法 50例入住EICU的重症且人工气道患者采用双盲法随机分为两组，即对照组和研究组各25例。对照组不进行特殊干预，研究组在常规护理基础上联合集束化护理干预，比较两组患者干预前后的血气指标变化情况，并统计并发症发生率。结果 经不同护理方案干预后，两组患者的PaO2（氧合指数）、SaO2（血氧饱和度）显著上升，PaCO2（动脉血二氧化碳分压）下降，且研究均优于同期对照组（P<0.05）；研究组并发症发生率相较于对照组明显降低（P<0.05）。结论 在EICU危重症人工气道患者的急性期管理中应用集束化护理能显著改善患者的氧合功能与呼吸状态，降低并发症发生率，对促进患者康复有积极作用，临床应用价值较高。

Abstract

Objective To verify the clinical effect of applying cluster nursing in the nursing management of critically ill patients with artificial airways in the EICU.
Methods Fifty critically ill patients with artificial airways admitted to the EICU were randomly divided into two groups based on a double-blind method, namely the control group and the study group, with 25 cases in each group. The control group did not receive special intervention, while the study group received combined cluster nursing intervention on the basis of conventional care. The changes in blood gas indicators of the two groups of patients before and after the intervention were compared, and the incidence of complications was statistically analyzed.
Results After intervention with different nursing plans, the PaO2 (oxygenation index) and SaO2 (blood oxygen saturation) of the two groups of patients increased significantly, and PaCO2 (partial pressure of carbon dioxide in arterial blood) decreased. Moreover, both studies were superior to the control group in the same period (P<0.05). The incidence of complications in the study group was significantly lower than that in the control group (P<0.05).
Conclusion   The application of cluster nursing in the acute phase management of critically ill patients with artificial airways in the EICU can significantly improve the oxygenation function and respiratory status of patients, reduce the incidence of complications, and has a positive effect on promoting the recovery of patients, with high clinical application value.