集束化护理干预对EICU机械通气患者预后的影响

目的：探析急诊重症监护室（EICU）机械通气患者实施集束化护理的预后效果。方法：选取2020年6月至2021年6月温州医科大学附属第一医院EICU收治的100例机械通气患者为研究对象，分为常规组、观察组（每组50例），前者施以常规护理，后者施以集束化护理，比较两组患者预后。结果：干预前，常规组和观察组患者血气指标差异无统计学意义（P>0.05）。干预后，观察组与常规组比较，血氧饱和度较高，血氧分压较高，血二氧化碳分压较低（P<0.05）；观察组患者机械通气时间及EICU住院时间分别为（5.6±1.0）d和（16.6±3.5）d，短于对照组的（7.9±1.3）d和（24.3±5.3）d(P<0.05)。与常规组比较，观察组呼吸机相关性肺炎发生率、非计划拔管率显著降低，护理合规性明显增高（P<0.05）。结论：对EICU机械通气患者施以集束化护理能够显著缩短机械通气的时间，减少呼吸机相关性肺炎的发生，促进康复。

Intervention of bundle care in EICU patients with mechanical ventilation and its effect on prognosis

Objective: To investigate the efficacy of bundle care on prognosis of emergency intensive care unit (EICU) patients with mechanical ventilation. Methods: Totally 100 patients with mechanical ventilation were selected as research subjects from June 2020 to June 2021, who were randomly allocated into rehabilitation group and conventional group with 50 cases in each. The conventional group adopted the conventional treatment and nursing care, while the rehabilitation group adopted bundle care. The differences in prognostic effect between two groups were compared. Results: Before the intervention, there was no significant difference in blood gas indicators between two groups. After intervention, the mechanical ventilation time and EICU hospitalization time in the rehabilitation group were (5.6±1.0)days and (16.6±3.5)days respectively, compared with (7.9±1.3) days and (24.3±5.3) days in the conventional group (P<0.05). Adverse reactions such as ventilator-associated pneumonia (VAP), non-planning extractivity was significantly reduced, and the nursing compliance was increased (P<0.05).Conclusion: Bundle care nursing intervention in EICU mechanical ventilation patients can significantly reduce the mechanical ventilation time, prevent adverse reactions and promote patients’ recovery.