集束化气道护理在高血压性脑出血术后机械通气患者中的应用效果.docxVIP

集束化气道护理在高血压性脑出血术后机械通气患者中的应用效果 　　[摘要]目的探討集束化气道护理在高血压性脑出血术后机械通气患者中的应用效果。方法选取2017年6月～2019年3月我院收治的100例高血压性脑出血术后机械通气患者作为研究对象，按照入院顺序的不同分为观察组（50例）和对照组（50例）。观察组采用集束化气道护理，对照组采用常规护理。比较两组的机械通气时间、重症监护室（icu）停留时间、焦虑和抑郁评分、护理不良事件总发生率。结果观察组的机械通气时间和icu停留时间短于对照组，差异均有统计学意义（p0.05）;观察组护理后的焦虑、抑郁评分低于对照组，差异均有统计学意义（p0.05）;观察组的护理不良事件总发生率低于对照组，差异有统计学意义（p0.05）。结论高血压性脑出血术后机械通气患者实施集束化气道护理能缩短患者的机械通气时间和icu停留时间，改善患者的负面情绪，降低患者的不良事件发生风险，值得临床推广应用。 　　[关键词]高血压性;脑出血;术后机械通气;集束化气道护理;应用效果 　　[中图分类号]r544.1[文献标识码]a[文章编号]1674-4721（2020）3（b）-0200-03 　　applicationeffectofbundledairwaynursinginpatientswithmechanicalventilationafteroperationofhypertensivecerebralhemorrhage 　　lizhu-huawuyu-baoliugui-xiang 　　departmentofsurgery，yangchunpeople′shospitalofguangdongprovince，yangchun529600，china 　　[abstract]objectivetoexploretheapplicationeffectofbundledairwaynursinginpatientswithmechanicalventilationafterhypertensivecerebralhemorrhage.methodsonehundredpatientswithmechanicalventilationafterhypertensiveintracerebralhemorrhagetreatedinourhospitalfromjune2017tomarch2019wereselectedasresearchobjects，theyweredividedintoobservationgroup（50cases）andcontrolgroup（50cases）accordingtothedifferentadmissionorder.theobservationgroupwasgivenintensiveairwaynursing，whilethecontrolgroupwasgivenroutinenursing.themechanicalventilationtime，icustaytime，anxietyanddepressionscores，andthetotalincidenceofnursingadverseeventswerecomparedbetweenthetwogroups.resultsthemechanicalventilationtimeandicustaytimeintheobservationgroupwereshorterthanthoseinthecontrolgroup，thedifferenceswerestatisticallysignificant（p0.05）.thescoresofanxietyanddepressionintheobservationgroupwerelowerthanthoseinthecontrolgroup，thedifferenceswerestatisticallysignificant（p0.05）.thetotalincidenceofnursingadverseeventsintheobservationgroupwaslowerthanthatinthecontrolgroup，thedifferencewasstatisticallysignificant（p0.05）.conclusionaftertheoperationofhypertensiveintracerebralhemorrhage，themechanicalventilationtimeandicustaytimeofthepatientscanbeshortened，th