综合护理配合对侧卧位视频喉镜引导下经口气管插管患者并发症及生活质量的影响

Influence of comprehensive nursing cooperation on complications and quality of life in patients with video laryngoscope-guided orotracheal intubation in lateral decubitus position.

作者信息

Zhang Yexian, Wang Lei, Song Jinmei

机构信息

Operating Room of The First People's Hospital of Pinghu City Pinghu 314200, Zhejiang, China.

Department of Science and Education, Pinghu City First People's Hospital Pinghu 314200, Zhejiang, China.

出版信息

Am J Transl Res. 2023 Feb 15;15(2):1517-1525. eCollection 2023.

PMID:36915752

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10006814/

Abstract

OBJECTIVE

To retrospectively analyze the influence of nursing cooperation on complications and quality of life (QoL) in patients with video laryngoscope-guided orotracheal intubation in a lateral decubitus position (LDP).

METHODS

A total of 130 patients with orotracheal intubation under general anesthesia in LDP from January 2020 to December 2021 were included and grouped based on the nursing model they received, with 65 patients receiving routine nursing cooperation during operation being included in a control group (the Con), and 65 patients receiving comprehensive nursing cooperation on the basis of the Con being included in an observation group (the Obs). The effect of the two nursing intervention models on acute pressure ulcer degree, complications, doctor-patient satisfaction, duration and area of pressure injury, nursing costs, and QoL were compared.

RESULTS

The incidence of intraoperative acute pressure injury differed significantly between the Obs (3.08%) and the Con (21.54%) (P<0.05). The Obs also showed lower incidences of complications such as pressure injury, limb swelling, limb numbness and muscle soreness than the Con did (P<0.05). The satisfaction of nurses, patients, anesthesiologists and surgeons in the Obs group were all 100.00%, which was higher than those in the Con (93.85%, 89.23%, 92.31% and 90.77%, respectively). Patients in the Obs had shorter duration of pressure injury, smaller pressure injury area and less nursing cost (P<0.05). After nursing, the scores of social/physical functioning, vitality, role-emotional/physical, mental health, and bodily pain were all better in the Obs than in the Con (P<0.05).

CONCLUSIONS

The implementation of comprehensive nursing cooperation for patients with video laryngoscope-guided orotracheal intubation in LDP can reduce the incidence of complications, lower the degree of acute pressure injury, improve doctor-patient satisfaction, and enhance the QoL of patients.

摘要

目的

回顾性分析护理配合对侧卧位视频喉镜引导下经口气管插管患者并发症及生活质量（QoL）的影响。

方法

纳入2020年1月至2021年12月期间130例在侧卧位下行全身麻醉经口气管插管的患者，根据其接受的护理模式进行分组，其中65例术中接受常规护理配合的患者纳入对照组（Con），65例在Con基础上接受综合护理配合的患者纳入观察组（Obs）。比较两种护理干预模式对急性压疮程度、并发症、医患满意度、压力性损伤持续时间和面积、护理成本及QoL的影响。

结果

观察组（3.08%）与对照组（21.54%）术中急性压力性损伤发生率差异有统计学意义（P<0.05）。观察组压力性损伤、肢体肿胀、肢体麻木及肌肉酸痛等并发症的发生率也低于对照组（P<0.05）。观察组护士、患者、麻醉医生及外科医生的满意度均为100.00%，高于对照组（分别为93.85%、89.23%、92.31%和90.77%）。观察组患者压力性损伤持续时间更短，压力性损伤面积更小，护理成本更低（P<0.05）。护理后，观察组在社会/身体功能、活力、角色-情感/身体、心理健康及躯体疼痛方面的评分均优于对照组（P<0.05）。