牛牛游戏厅安卓,{原始关键词}

      1. <form id='8tng6'></form>
          <bdo id='8tng6'><sup id='8tng6'><div id='8tng6'><bdo id='8tng6'></bdo></div></sup></bdo>

                1. <form id='qf9tj'></form>
                    <bdo id='qf9tj'><sup id='qf9tj'><div id='qf9tj'><bdo id='qf9tj'></bdo></div></sup></bdo>

                      • 当前位置: 代写一篇论文多少钱 > 医学论文 > 医护人员与院外气切患者交互式气道管理模式应用

                        医护人员与院外气切患者交互式气道管理模式应用

                        时间:2019-01-22 10:10作者:陈荣 詹陈菊
                        本文导读:这是一篇关于医护人员与院外气切患者交互式气道管理模式应用的文章,气管切开术(气切)是临床用来解决呼吸道梗阻、痰多难以排出等问题,抢救危重患者的常用方法之一,由于改变了气道生理结构,导致气道及肺部极易发生感染,因此气道管理在术后康复中起着重要作用。

                          摘    要: 目的 探讨新型气道管理模式在院外气管切开患者中的应用效果。方法 选取2015年1月—2017年9月在我院治疗期间行气管切开术,并且在出院时仍处于气管切开状态的患者,随机分为观察组和对照组各42例。对照组患者采取常规护理模式进行出院护理,观察组患者采取交互式气道管理模式进行护理,对比分析2组患者的护理效果,包括套管脱出率,感染率(气道、切口、肺部),气道堵塞率,同时比较2组患者健康教育知识掌握程度、依从性及满意度。结果 观察组套管脱出率为7.1%,明显低于对照组的26.2%,差异具有统计学意义(P<0.05);观察组的感染率为14.3%,低于对照组的45.2%,差异具有统计学意义(P<0.05);2组气道阻塞率比较无明显差异(P>0.05)。观察组健康教育知识掌握评分为(75.4±5.5)分,高于对照组的(71.7±5.3)分(P<0.05);观察组的依从性评分为(75.2±4.3)分,高于对照组的(71.9±4.6)分(P<0.05);观察组的满意度评分为(81.4±7.2)分,高于对照组的(76.9±5.2)分(P<0.05)。结论 采用交互性气道管理模式可以有效降低出院气管切开患者气道感染、脱出等不良反应,同时提高其健康知识掌握程度和依从性,从而提升满意度,值得推广。

                          关键词:牛牛游戏厅安卓,{原始关键词} 气管切开; 院外患者; 交互式气道管理; 应用效果;

                          Abstract: Objective To evaluate the extended care for a new airway management for out-of-hospital patients with tracheotomy. Methods 84 patients with tracheotomy between January 2015 and September 2017 were enrolled and all the patients were still in tracheotomy while they left the hospital. 42 patients in control group were cared with traditional nursing. The other 42 patients in observation group were cared with interactive airway management. The rates of casing pipe withdrawal,infection,airway obstruction between the two groups were compared. The knowing of airway management following tracheotomy,compliance,and satisfaction,were assessed in the groups. Results The rate of casing pipe withdrawal in observation group was lower than that in control group with 7.1% VS. 26.2%(P<0.05). The rates of infection between observation and control group were 14.3% VS. 45.2%(P<0.05). The occurrences of airway obstruction between the two groups made no significant difference(P>0.05). The score of test about knowing of airway management in observation group is higher than that in control group with(75.4±5.5)VS.(71.7±5.3)( P<0.05). The compliance in observation group is(75.2±4.3),higher than that in control group( 71.9±4.6)(P<0.05). The satisfaction score in observation is higher than that in control group(81.4 ±7.2)VS.(76.9 ±5.2)(P<0.05).Conclusion Contrast to the traditional care,interactive airway management might reduce the occurrence of casing pipe withdrawal,infection,airway obstruction. It should strengthen the knowing about airway management,compliance and improve the nursing satisfaction. It suggested that it should be used widely.

                          Keyword: 牛牛游戏厅安卓,{原始关键词}Tracheotomy; Out-of-hospital patients; Interactive airway management; Application effect;

                          气管切开术(气切)是临床用来解决呼吸道梗阻、痰多难以排出等问题,抢救危重患者的常用方法之一,由于改变了气道生理结构,导致气道及肺部极易发生感染,因此气道管理在术后康复中起着重要作用。最近有报道甚至指出在头颈癌切除中给予良好的气道管理,行微血管游离组织骨瓣移植术相对传统的气管切开术具有缩短手术时间、无并发症等优点[1]。相当多的气切患者需要长期佩戴套管生活,对于院外气切患者,医护人员则无法实时提供有效管理。针对这种情况,本研究建立了一种医护人员与院外气切患者交互式气道管理模式,可提高患者自我护理水平和依从性,最终降低并发症的发生。现报告如下。
                         

                        医护人员与院外气切患者交互式气道管理模式应用
                         

                          1、 资料与方法

                          1.1 、一般资料

                          XUANQU2015NIAN1YUE—2017NIAN9YUEZAIWOYUANZHILIAOQIJIANXINGQIGUANQIEKAISHU,BINGQIEZAICHUYUANSHIRENGCHUYUQIGUANQIEKAIZHUANGTAIDEHUANZHE84LI。PAICHUBIAOZHUN:(1)QIGUANQIEKAIDANCHUYULINZHONGJIEDUANDEHUANZHE;(2)WUFASUIFANGDEHUANZHE;(3)XIN、GAN、SHENGONGNENGYANZHONGSHOUSUNJIYISHIZHANGAIHUANZHE。ANSUIJISHUZIBIAOFAJIANGQIFENWEIGUANCHAZUHEDUIZHAOZUGE42LI。GUANCHAZUNAN24LI,NV18LI,NIANLING33SUI~70SUI,PINGJUNNIANLING51.3SUI;WENHUACHENGDU:CHUZHONGJIYIXIA23LI,GAOZHONGJIZHONGZHUAN12LI,DAZHUANJIYISHANG7LI。DUIZHAOZUNAN25LI,NV17LI,NIANLING30SUI~72SUI,PINGJUNNIANLING50.5SUI;WENHUACHENGDU:CHUZHONGJIYIXIA22LI,GAOZHONGJIZHONGZHUAN13LI,DAZHUANJIYISHANG7LI。2ZUHUANZHEDEXINGBIE、NIANLING、WENHUACHENGDUDENGYIBANZILIAOWUMINGXIANCHAYI(P>0.05),JUYOUKEBIXING。SUOYOUHUANZHEJUNQIANSHUZHIQINGTONGYISHU。

                          1.2、 方法

                          DUIZHAOZUYIHURENYUANDUIHUANZHEJINXINGDIANHUASUIFANG,XIANGXILEJIEHUANZHEMUQIANQINGKUANG,JIYUZHENDUIXINGDEJIANKANGZHIDAOHETAOGUANHUANYAO。GUANCHAZUZHIDINGZHUANMENDEHUSHI(ZERENHUSHI)FUZEYIDINGSHULIANGDEHUANZHE(YIBANWEI3~5REN),ZERENHUSHIDUIHUANZHEJINXINGQUANMIANPINGGU,LEJIEQIMUQIANXIANCUNDEBINGQING、ZIWOHULIZHISHIZHANGWODENEIRONGJICHENGDU,YIJIHUANZHEJIJIASHUDEKANGFUXUQIU;TIGONGXINGMING、LIANXIFANGSHI,HUANZHEKESUISHIYUQIZERENHUSHIQUDELIANXIYIHUODEXUYAODEBANGZHU。ZHUANSHURENYUANDINGQITIXINGHUANZHEANSHIFUZHEN;JIANLIWEIXINQUN,TIGONGJIAOHUSHIJIAOLIUPINGTAI,GULIQUNNEICHENGYUANBAOKUOQIQIEHUANZHE、JIASHUDENGSUISHITICHUQIUZHUXINXI,ZERENHUSHIGENJUQINGKUANGJIYUXINXIHUOZHEJISHUZHIDAO;QUNNEIDINGSHIFABUJIANKANGZHISHI,YINDAODAJIAJINXINGTAOLUN;BINGDINGQIJUBANBINGYOUHUI,JISHIJINXINGCEPING,JIYUXINLISHUDAODENG,JIANLIJIAOHUSHIGUANLIMOSHI。

                          1.3、 观察指标

                          SUIFANG6GEYUEHOU,DUIBIFENXI2ZUHUANZHEDEHULIXIAOGUO,BAOKUOTAOGUANTUOCHULV,GANRANLV(QIDAO、QIEKOU、FEIBU),QIDAODUSAILV。TONGSHIBIJIAO2ZUHUANZHEJIANKANGJIAOYUZHISHIZHANGWOCHENGDU、YICONGXINGJIMANYIDU。YOUKETIZUZHIDINGDIAOCHAWENJUAN,JIANKANGJIAOYUZHISHIBAOKUOSUOHUANJIBINGDEJIBENQINGKUANG、YUHOU、QIQIESHIYINGZHENG、QIQIEBINGFAZHENGJIHULIDUICE。YICONGXINGNEIRONG:SHIFOUNENGANSHILAIYUANHUANTAOGUAN,ZAIJIASHIFOUNENGANSHIXIAODU、XIAODUSHIFOUZHENGQUE。MANYIDUBAOKUOZERENHUSHITAIDU,FUWUSHIFOUREQING,FUWUSHIFOUXIANGXIDENG。YISHANGSANXIANGDIAOCHAWENJUANMANFENJUNWEI100FEN。

                          1.4 、统计学方法

                          CAIYONGSPSS 18.00TONGJIXUERUANJIANFENXISHUJU,JILIANGZILIAOYIBIAOSHI,CAIYONGtJIANYAN,JISHUZILIAOCAIYONGχ2JIANYAN,Р<0.05WEICHAYIYOUTONGJIXUEYIYI。

                          2 、结果

                          2.1 、2组并发症发生情况对比

                          SUIFANG6GEYUE,2ZUSUOYOUHUANZHEJUNCUNHUO,GUANCHAZUTAOGUANTUOCHULV、GANRANLVDOUJIAODUIZHAOZUDI(P<0.05);2ZUQIDAOZUSAILVWUMINGXIANCHAYI(P>0.05)。JIANBIAO1。

                          表1 2组并发症发生情况比较
                        表1 2组并发症发生情况比较

                          2.2 、2组健康教育知识掌握程度、依从性、满意度情况对比

                          SUIFANG6GEYUEHOU,GUANCHAZUDUIJIANKANGJIAOYUZHISHIZHANGWOCHENGDU、YICONGXINGHEMANYIDUJUNGAOYUDUIZHAOZU(P<0.05)。JIANBIAO2。

                          表2 2组健康教育知识掌握程度依从性满意度比较
                        表2 2组健康教育知识掌握程度依从性满意度比较

                          3 、讨论

                          YOUYURENGONGQIDAOGAIBIANLEYUANYOUQIDAODEJIEGOUHESHENGLIGONGNENG,HUXIMOSHIGAIBIANYISHIFEIZANGCHANSHENGXIANGYINGDEBINGLI、SHENGLIBIANHUA,QIQIEHUANZHEDUOHUICHUXIANHUXIDAOGANZAO、FENMIWUZENGDUO、TANYEBUYIPAICHUDENGQINGKUANG,YINCIKEFASHENGDUOZHONGBINGFAZHENG,QIZHONGFEIBUGANRANZUIWEIDUOJIAN。GUOWAIYIXIANGBAODAOZHICHU,ICUHUANZHEZAOQIQIGUANQIEKAIFEIBUGANRANFASHENGLVWEI23.33%,HOUQIQIEKAIGANRANLVKEDA27.02%[2]。GUONEIBAODAOSHENJINGKEZHONGZHENGQIQIEHUANZHEFEIBUGANRANLVSHENZHIDADAO70.27%[3]。

                          WOKEJIANGJIAOHUSHIQIDAOGUANLIMOSHIYONGYUQIQIEHUANZHE,MINGXIANJIANSHAOLEFEIBUGANRANHETAOGUANTUOCHUDENGBINGFAZHENG(P<0.05)。ZHEIZHONGJIAOHUSHIHULIMOSHIZHUTIWEIZHUANYEDEHUSHI(BAOKUOYISHENG),YOUZHUANYEYIHURENYUANZUCHENGDEHULITUANDUINENGGOUJIHUANZHETIGONGZUIZHUANYE、ZUIHESHIDEJICHUZHISHIHEHULIZHUYISHIXIANG[4]。HULIGUOCHENGZHONGJISHIJIEDAQIQIEHUANZHETICHUDEXIANGGUANWENTI,YIMANZUQIXUQIU,CUJINHUANZHEPEIHEHULIGONGZUO,ZUIZHONGTIGAOHULIZHILIANG,JIANSHAOQIQIEBINGFAZHENGDEFASHENG。JIAOHUSHIQIQIEHULIGUANLIMOSHIDELINGYIGEYOUSHIZAIYUQINENGGOUYOUXIAOJIANDUHUANZHE,LEJIEHUANZHEQIDAOGUANLISHIFOUJISHI、ZHUNQUE,DUCUJIJIZHILIAO,BINGJISHISHUDAOHUANZHEDEBULIANGQINGXU,TIGAOYICONGXING[4]。BENYANJIUZHONGWOMENFAXIANHUANZHEQIDAODUSAIBINGWEIMINGXIANJIANSHAO,KAOLVYUBENYANJIUZHONGQIDAODUSAIBENSHENFASHENGLVDIJIGUANCHALISHUJIAOSHAOYOUGUAN,KEKUODAYANGBENSHUJINYIBUGUANCHA。

                          BENWENGUANCHAJIEGUOFAXIANJIAOHUSHIYUANWAIQIQIEHULIGUANLIMOSHIXIANGBICHUANTONGMOSHI,KEXIANZHETIGAOHUANZHEXIANGGUANJIANKANGZHISHIZHANGWOCHENGDU(P<0.05)。HUANZHEYUZHIDINGDEZERENHUSHIBUJINSHIYIDUIYIDEHULI,CHUYOULIYUZENGJINHUHUANJIANGANQING,TIGAOJIANKANGJIAOYUXIAOGUO,SHIHUANZHEDUIQIQIEHULIZHISHIYOUGENGDUODELEJIE,TIGAOQIJIANKANGJIAOYUZHISHIZHANGWOCHENGDUWAI,HAIJIANLILELEISIYU“SHITU”DEGUANXI,QILEISIYUHULIJIAOXUE,ERJIAOHUXINGJIAOXUEMOSHIKEXIANZHETIGAOXUESHENGFENXIJIEJUEWENTIDENENGLI[5]。WOMENRENWEIJIAOHUSHIHULIMOSHILEISIYUJIAOHUSHIJIAOXUE,TONGYANGKETIGAOHUANZHEFENXI、JIEJUEWENTIDENENGLI,WEIHUANZHETIGAODUIJIBINGJIZIWOHULIRENZHI,JINYIBUTISHENGYICONGXINGDIANDINGLELIANGHAODEJICHU。

                        牛牛游戏厅安卓,{原始关键词}   ZONGERYANZHI,ZHEIZHONGJIAOHUHULIMOSHISHIDEZERENHUSHIDUIHULIGONGZUOYOULEXINDERENSHI,TONGSHICONGGENBENSHANGJIEJUELEYUANWAIQIQIEHUANZHEMIANDUIDEWENTI;HAIKEZENGQIANGJIAOLIUYIMANZUHUANZHEXINLIXUQIU,CUJINHUHUANGUANXIRONGQIA;KEQUANMIANSHENHUA“YIHUANZHEWEIFUWUZHONGXIN”LINIAN,JINYIBUFENGFUHULIFUWUNEIHAN,SHIHUANZHEGANSHOUDAOYIYUANDEGUANAI,TONGSHIKETIGAOQIMANYIDU,ZHIDETUIGUANG。

                          参考文献

                          [1] CARRON M A,KIM S A,SAWHNEY R,et al. Airway obstruction by granuiation tissue within a fenestrated tracheotomy tube:Case report[J].Ear Nose Throat J.2006,85(1):54-55.
                          [2] KHAMMAS A H,DAWOOD M R.Timing of Tracheostomy in Intensive Care Unit Patient[J].Int Arch Otorhinolaryngol,2018,22(4):437-442.
                          [3] 冯金周.早期气管切开对颅脑损伤患者肺部感染及血气指标的影响观察[J].基层医学论坛,2018,22(1):18-20.
                          [4] 肖岩岩,刘雪梅.三主体双轨道交互式护理模式在强直性脊柱炎患者延续护理中的应用研究[J].护理研究,2016,30(12):4448-4451.
                          [5] 朱珍玲.交互式教学法在外科护理学教学中的应用[J].护理实践与研究.2011,8(5):88-90.

                        牛牛游戏厅安卓,{原始关键词}相关的文章
                        联系我们
                        • 写作QQ:
                        • 发表QQ:
                        • 服务电话:
                        • 售后电话:
                        • 邮箱:
                        范文范例

                        豪运棋牌送20金币-牛牛游戏厅安卓,{原始关键词} 欢乐斗牛棋牌下载 番茄棋牌---HOME_Welcome 明豪棋牌---HOME_Welcome 天棋棋牌---HOME_欢迎您