综合气道护理管理在气管切开术后康复患者中的应用

Application of comprehensive airway nursing management in patients with rehabilitation after tracheotomy

  • 摘要: 目的 探讨综合气道护理管理在气管切开术后康复患者中的应用效果及临床价值.方法 将120例气管切开术后康复患者随机分为观察组和对照组各60例,对照组采用常规气管切开术护理,观察组采用综合气道护理管理方法,比较2组症状改善情况、并发症发生情况及格拉斯哥昏迷(GCS)评分、Hamilton焦虑量表(HAMA)评分.结果 治疗后,2组临床症状均较治疗前有显著改善,观察组改善情况显著优于对照组(P<0.05);观察组感染、并发症发生率及GCS评分均显著低于对照组(P<0.05);出院时,观察组HAMA总分及精神性焦虑、躯体性焦虑的得分与对照组比较显著下降(P<0.05).结论 综合气道护理管理能改善临床症状,减少肺部感染及并发症.心理护理干预消除了患者在治疗过程中的焦虑情绪,有助于患者预后康复,对疾病治疗有积极意义和较高的临床价值.

     

    Abstract: Objective To explore the application efficacy and clinical value of comprehensive airway nursing management in patients with rehabilitation after tracheotomy.Methods A total of 120 patients with rehabilitation after tracheotomy were randomly divided into observation group and control group,with 60 cases for each group.Control group was treated with routine nursing for tracheotomy while observation group was given comprehensive airway nursing management.The improvement of clinical symptoms,the occurrence rates of complications,Glasgow coma scale (GCS) score and Hamilton anxiety scale (HAMA) score were compared between two groups.Results Clinical symptoms were improved evidently in both groups after treatment,and observation group had better improvement than that in control group (P < 0.05).Observation group was notably lower than control group in the rates of infection and complications as well as GCS score (P < 0.05).Meanwhile,observation group was prominently lower in the total HAMA score and the scores of psychic and somatic anxiety than control group (P < 0.05).Conclusion Comprehensive airway nursing management can improve the clinical symptoms and reduce the pulmonary infection and complications,and relieve patients'anxiety through psychological nursing intervention,which is beneficial to the patients'prognosis and has positive significance and high clinical value in clinical treatment.

     

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