循证护理在有创呼吸机护理中的临床应用

摘要

目的探究循证护理在有创呼吸机护理中的临床价值。方法选取我院呼吸内科2010年4月~2012年11月收治的60例慢性阻塞性肺疾病伴Ⅱ型呼吸衰竭患者，均接受有创呼吸机治疗。利用随机数字表法进行分组，分别设为研究组和对照组，每组各30例。其中对照组开展常规护理，研究组则实施循证护理。结果治疗后，两组患者的PaO2和PaCO2值相较于治疗前，均有所改善（P<0.05），其中研究组PaO2为（69.6±4.2）mmhg，对照组为（63.5±5.9）mmhg；研究组PaCO2为（46.7±4.8）mmhg，对照组为（50.8±3.5）mmhg。结论循证护理模式对于行有创呼吸机治疗患者而言，在改善患者肺功能方面效果高于常规护理模式，值得进一步推广。%Objective To explore the clinical value of evidence-based nursing in the nursing of invasive ventilation. Methods Using invasive ventilator to cure patients (60 cases) with chronic obstructive pulmonary disease and type II respiratory failure who received treatment in invasive ventilation during 2010~2012 in our hospital. The patients were divided into research group (30 cases) and control group (30 cases) by using random number table. Using routine nursing to nurse the control group and using evidence-based nursing to nurse the research group. Results There were signiifcant differences in paO2 and paCO2 between research group and control group after treatment (p<0.05). paO2 of the research group was (69.6 ± 4.2) mmHg and that of the control group was (63.5 ± 5.9) mmHg. paCO2 of the research group was (46.7 ± 4.8) mmHg and that of the control group was (50.8 ± 3.5) mmHg. Conclusion Evidence-based nursing has better curative effect in the aspect of improving pulmonary function of patients than routine nursing, and is worthy of further promotion.