目的:分析医护一体化护理模式在神经外科 ICU 人工气道患者非计划性拔管预防中的应用效果。方法:选择 2020年 03 月 -2021 年 02 月在我院神经外科 ICU 行人工气道治疗的患者 68 例,随机分组,分为观察组(n=34)和对照组(n=34)。对照组患者实施常规护理,观察组患者实施医护一体化护理。结果:观察组患者的非计划性拔管发生率,显著低于对照组的,P<0.05。观察组患者的护理满意度评分,显著高于对照组的,P<0.05 比较差异有统计学意。观察组患者的气管插管留置时间和ICU 住院时间,均显著短于对照组的,P<0.05。结论:医护一体化护理模式的开展可降低神经外科 ICU 人工气道患者的非计划性拔管发生率,从而提升其护理满意度,缩短其治疗时间。Abstract: Objective: To analyze the application effect of the integrated medical care model in the prevention of unplanned extubation of patients with artificial airway in neurosurgery ICU. Methods: A total of 68 patients who underwent artificial airway treatment in the neurosurgery ICU of our hospital from March 2020 to February 2021 were randomly divided into observation group (n=34) and control group (n=34). Patients in the control group received routine care, and patients in the observation group received integrated medical care. Results: The incidence of unplanned extubation in the observation group was significantly lower than that in the control group, P<0.05. The nursing satisfaction score of the observation group was significantly higher than that of the control group, and the difference was statistically significant at P<0.05. The indwelling time of tracheal intubation and ICU stay in the observation group were significantly shorter than those in the control group, P<0.05. Conclusion: The development of an integrated medical care model can reduce the incidence of unplanned extubation in neurosurgery ICU patients with artificial airway, thereby improving their nursing satisfaction and shortening their treatment time.
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