中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2010年
14期
1656-1657
,共2页
心理护理%重症肌无力%机械通气
心理護理%重癥肌無力%機械通氣
심리호리%중증기무력%궤계통기
Psychological nursing%Myasthenia gravis%Mechanical ventilation
目的 探讨分阶段心理护理对重症肌无力机械通气期患者撤机时间的影响.方法 选择重症肌无力机械通气期的ICU患者作为实验组(n=44),根据其生理基础、血气分析结果等确定其撤机时间,根据不同的过渡阶段应用护理程序对其实施有计划性、有针对性、个体化的心理护理,对照组(n=42)仅采用从CMV+→SIMV+→SPONT→间歇脱机→完全撤机的方法.记录并比较两组患者撤机的时间及住院天数.结果 对照组平均撤机时间为18 d,实验组为14 d,实验组的撤机时间低于对照组,但差异无统计学意义(P=0.752);对照组患者的住院天数比实验组长,差异有统计学意义(P=0.039).结论 在重症肌无力患者机械通气的不同阶段,及时有效地实施个体化的分阶段心理护理,可以缩短患者的撤机时间及住院天数,从而提高治疗护理效果,减轻了患者的痛苦及经济负担.
目的 探討分階段心理護理對重癥肌無力機械通氣期患者撤機時間的影響.方法 選擇重癥肌無力機械通氣期的ICU患者作為實驗組(n=44),根據其生理基礎、血氣分析結果等確定其撤機時間,根據不同的過渡階段應用護理程序對其實施有計劃性、有針對性、箇體化的心理護理,對照組(n=42)僅採用從CMV+→SIMV+→SPONT→間歇脫機→完全撤機的方法.記錄併比較兩組患者撤機的時間及住院天數.結果 對照組平均撤機時間為18 d,實驗組為14 d,實驗組的撤機時間低于對照組,但差異無統計學意義(P=0.752);對照組患者的住院天數比實驗組長,差異有統計學意義(P=0.039).結論 在重癥肌無力患者機械通氣的不同階段,及時有效地實施箇體化的分階段心理護理,可以縮短患者的撤機時間及住院天數,從而提高治療護理效果,減輕瞭患者的痛苦及經濟負擔.
목적 탐토분계단심리호리대중증기무력궤계통기기환자철궤시간적영향.방법 선택중증기무력궤계통기기적ICU환자작위실험조(n=44),근거기생리기출、혈기분석결과등학정기철궤시간,근거불동적과도계단응용호리정서대기실시유계화성、유침대성、개체화적심리호리,대조조(n=42)부채용종CMV+→SIMV+→SPONT→간헐탈궤→완전철궤적방법.기록병비교량조환자철궤적시간급주원천수.결과 대조조평균철궤시간위18 d,실험조위14 d,실험조적철궤시간저우대조조,단차이무통계학의의(P=0.752);대조조환자적주원천수비실험조장,차이유통계학의의(P=0.039).결론 재중증기무력환자궤계통기적불동계단,급시유효지실시개체화적분계단심리호리,가이축단환자적철궤시간급주원천수,종이제고치료호리효과,감경료환자적통고급경제부담.
Objective To investigate the impact of psychological nursing on time length of ventilator weaning in patients with myasthenia gravis (MG). Methods Forty-four MG patients with mechanical ventilation were enrolled to the testing group. In this group, the time of ventilator weaning was determined according to the results of basic status and blood gas analysis. Furthermore, the designed, targeted and individuated psychological care was conducted in this group at different phases. In the control group, only the programmatic method of ventilator weaning was used with the steps of CMV, SIMV, SPONT, intermittence and completely weaning. The time length of ventilator weaning and the length of stay were compared between two groups.Results The time length of weaning in testing group was 14 days comparing with 18 days in control group.Although there was no statistical significance ( P = 0.752), the time length of ventilator weaning in testing group was shorter than that in control group. The length of stay was longer in control group than that in testing group (P = 0.039). Conclusions The time length of ventilator weaning and length of stay could be shortened with the designed, targeted and individuated psychological care during different phases of ventilator weaning in patients with MG. Therefore, the nursing efficacy would be improved and the pains and economic burden of patients would be relieved.
