CAJ | 학술논문

目的探讨序贯性护理干预对心脏术后机械通气患者人机协调的影响.方法选择2006年7月-2007年7月心外科手术后入住ICU的患者36例,以简单随机的方式分为实验组和对照组各18例.实验组采取序贯性护理干预措施,对照组为常规护理干预,观察2组患者心脏术后机械通气人-机协调的状况,进行t检验.结果实验组吸气触发压(P-T),吸气延迟时间(D-I),吸气触发时间(D-T)均显著短于对照组.实验组患者完全清醒后第4、8、12小时动脉血气指标值均显著优于对照组.实验组术后机械通气时间、监护时间、术后住院天数均显著短于对照组.结论序贯性护理干预能有效地减少人机对抗,改善人机协调.
목적 탐토서관성호리간예대심장술후궤계통기환자인궤협조적영향.방법 선택2006년7월-2007년7월심외과수술후입주ICU적환자36례,이간단수궤적방식분위실험조화대조조각18례.실험조채취서관성호리간예조시,대조조위상규호리간예,관찰2조환자심장술후궤계통기인-궤협조적상황,진행t검험.결과 실험조흡기촉발압(P-T),흡기연지시간(D-I),흡기촉발시간(D-T)균현저단우대조조.실험조환자완전청성후제4、8、12소시동맥혈기지표치균현저우우대조조.실험조술후궤계통기시간、감호시간、술후주원천수균현저단우대조조.결론 서관성호리간예능유효지감소인궤대항,개선인궤협조.
Objective To explore the effects of sequential nursing care on patient- ventilator inter-action after cardiovascular surgical procedure. Methods thirty-six patients after cardiovascular surgical procedure in ICU from July 2006 to July 2007 were enrolled, they were randomly divided into the experi-mental group and the control group with 18 patients in each group.The experimental group adopted sequen-tial nursing care, while the control group received conventional nursing care. The condition of patient- venti-lator interaction after cardiovascular surgical procedure was observed and underwent t test. Results Gen-erally, there were significant differences in inspiratory trigger pressure(P-T), inspiratory delay time(D-I), inspiratory trigger time (D-T). The index of arterial blood gas at 4,8,12 hours after patients regain con-sciousness completely was better and the time of mechanical ventilation after operation,the time of ward-ship,the hospi-tal stay time were also significantly shorter in the experimental group than those in the con-trol group. Conclusions The patient-ventilator counteraction can be reduced,and the patient-ventilator synchreny can be alleviated by sequential nursing care.