循证护理在人工气道患者中的应用

目的探讨循证护理应用于人工气道患者的效果。方法选取我院ICU病房开展循证护理前后收治的建立人工气道患者196例，随机分为对照组和循证组各98例，分别实施人工气道常规护理和循证护理，将两组护理效果进行对比。结果98例实施循证护理患者经过严格有效的人工气道管理，无一例由于护理不当引起的气道阻塞和窒息，营养状况正常者32例，不适反应患者35例，对照组气道状况差者10例，营养状况正常者9例，不适反应患者，70例，两组比较差异均有统计学意义（X^2=22．242，71．205，25．128；P〈0．05）；患者肺部感染率分别为循证组13．3％，对照组25．5％，差异有统计学意义（X^2=4．701，P〈0．05），患者依从性和满意率也提高，差异有统计学意义（P〈0．05）。结论建立人工气道患者实施循证护理能减少并发症，提高患者的依从性和满意度，确保护理质量和护理服务水平。

Application of evidence-based nursing on patients with artificial airway

Objective To evaluate evidence-based nursing on patients with artificial airway.Methods 196 cases in ICU ward in our hospital carry out evidence-based care before and after 2008 were selected and divided into two groups:evidence-based nursing group and control group (n =98 in each group)and implemented evidence-based care and routine care,respectively.Nursing effects of the two groups were compared.Results 98 patients were to undergo a rigorous implementation of evidence-based nursing and effective airway management,no case occur airway obstruction and suffocation,32 cases were in normal nutrition condition and 35 cases felt uncomfortable,10 case in control group were in mal-nutrition condition,9 cases were in normal condition and 70 cases felt uncomfortable,and the differences were significant (x2 =22.242,71.205,25.128 ;P ＜ 0.05).Pulmonary infection rate in evidence group was 13.3％ and 25.5％ in control group,and the difference was significant ( x2 =4.701,P ＜ 0.05 ).The compliance rate and satisfaction rate were increased (P ＜ 0.05 ).Conclusions The implementation of artificial airway in patients with evidencebased care can reduce complications and improve patient compliance and satisfaction,ensure quality of care and nursing services.