心血管患者吸氧状况调查及相应护理策略.docVIP

心血管患者吸氧状况调查及相应护理策略【摘要】 目的 了解心血管病患者吸氧的状况及护理策略。方法 对200例心内科住院吸氧的患者随机调查,了解吸氧状况并作出质控评估及护理策略。结果 医嘱与执行一致90例,操作规范者150例;吸氧湿化瓶及湿化液每天更换121例。氧气管清洁者165例。患者舒适吸氧者70例。不愿吸氧75例,原因涉及噪音、鼻塞、干燥、异味、心理障碍、经济负担等原因。质控满意100例、一般50例、差33例。结论 医患双方多种原因影响吸氧效果,提高舒适度及质控是重要的保障。? 【关键词】 吸氧;护理 The Investgation to Status Quo of Nursing Management and Corresponding Nursing Strategy during Oxygen Treatment in patients with Cardiovascular Disease LUO Shi-jie, LV Yan.Department of Cardiology,People’s Hospital affiliated to Nanjing Drum Tower Hospital Group, Jiang Su 223800,China ? 【Abstract】 Objective To understand the status quo of nursing management and corresponding nursing strategy during oxygen treatment in patients with cardiovascular disease. Methods 200 patients undergoing oxygen treatment were randomly survey to find out the situation and make QC assessment and care strategies. Results In 90 patients,the time of nursing implementation conformed to doctor?s orders, nursing meeted the demands in 150 cases; fresh humidification fluid and humidifing bottles were changed every day in 121 cases. Oxygen tube were clean in 165 cases. 70 patients were comfortable for oxygen treatment. 75 cases did not want to accepted the oxygen treatment,because of the noise, nasal congestion, dry, odor, psychological barriers, economic burden and other factors. QC were satisfactory in 100 cases, ordinary in 50 cases, poor in 33 cases. Conclusion A variety of reasons between doctors and patients affected the effect of oxygen treatment. To enhance comfort degree of patients and quality control are important protection for willingly accepting oxygen inhalation.? 【Key words】 Oxygen treatment; Nursing care 吸氧是临床中常见的治疗手段,在心血管内科更为普遍。通过吸氧可以增加动脉内的血氧含量,改善组织代谢,纠正了各种原因造成的机体缺氧状态。从而利于疾患的治疗。然而临床中吸氧状况并不满意,原因不一,我们对心内科需要吸氧的200例患者住院期间吸氧情况进行调查,并提出了相应的护理策略起到了较好的效果。现汇报如下。 1 一般资料? 所有患者均为1999-2010年心内科住院患者,其中男120例、女80例。心衰70例、不稳定心绞痛50例、心肌梗死60例、肺心病16例、肺栓塞2例,休克2例。 2 方法? 对我院心内科住院吸氧患者随机调查,了解吸氧状况。包括吸氧医嘱执行情况、操作规程、吸氧装置的消毒、故障