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医护康一体化护理模式在重症颅脑损伤患者人工气道管理中的应用
引用本文:朱柳花,张京华,朱赟.医护康一体化护理模式在重症颅脑损伤患者人工气道管理中的应用[J].齐鲁护理杂志,2022(4):15-18.
作者姓名:朱柳花  张京华  朱赟
作者单位:上海交通大学医学院附属仁济医院
摘    要:目的:探讨医护康一体化护理在重症颅脑损伤患者人工气道管理中的应用效果.方法:选取2019年1月1日~12月31日神经外科收治的60例重症颅脑损伤并行气管切开术患者为研究对象,采用区组随机化方法,借助SPSS 21.0统计软件编号分为对照组和观察组各30例;对照组采用常规护理,观察组采用医护康一体化护理.比较两组痰液黏稠...

关 键 词:医护康一体化  重症颅脑损伤  气管切开术  护理

Application of Integrated Medical Health Nursing Model in the Severe Craniocerebral Injury Patients with Artificial Airway Management
Zhu Liuhua,Zhang Jinghua,Zhu Yun.Application of Integrated Medical Health Nursing Model in the Severe Craniocerebral Injury Patients with Artificial Airway Management[J].Journal of Qilu Nursing,2022(4):15-18.
Authors:Zhu Liuhua  Zhang Jinghua  Zhu Yun
Institution:(Renji Hospital Affiliated to School of Medicine Shanghai Jiaotong University,Shanghai 200127,China)
Abstract:Objective:To explore the application effect of the integrated medical health nursing in severe craniocerebral injury patients with artificial airway management.Methods:A total of 60 cases of severe craniocerebral injury patients who underwent tracheotomy admitted in neurosurgery during January 1 to December 31,2019 were selected as the research objects,using block randomized method,with the aid of statistical software SPSS 21.0 number were divided into the control group and the observation group with 30 cases each.The control group was given conventional care,the observation group was given integration of medical health care.Comparison was made between the two groups on sputum viscous degree,complications,recovery,etc.Results:After nursing 7 days,the sputum viscous degree was lighter in the observation group than that in the control group(P<0.05),the clinical pulmonary infection risk scores were lower in the observation group than those in the control group(P<0.05),the tracheal extubation time and length of hospital stay were shorter in the observation group than those in the control group(P<0.05,P<0.01).After nursing,the Glasgow Coma Scale(GCS)scores were higher in the observation group than those in the control group(P<0.05).The respiratory tract complication rate was lower in the observation group than that in the control group(P<0.05).Conclusion:The integration of medical health care can reduce the viscous sputum degree in patients with severe craniocerebral injury combined with tracheostomy,shorten the time of extubation,reduce complications and improve prognosis.
Keywords:Integration of medical health care  Severe craniocerebral injury  Tracheotomy  Nursing
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