[1]王茹王毓张婷婷汪超.降低重症患者人工气道湿化不足发生率[J].中国卫生质量管理,2022,29(07):080-85.[doi:10.13912/j.cnki.chqm.2022.29.7.20 ]
 WANG Ru,WANG Yu,ZHANG Tingting.Reducing the Incidence of Insufficient Artificial Airway Humidification in Severe Patients[J].Chinese Health Quality Management,2022,29(07):080-85.[doi:10.13912/j.cnki.chqm.2022.29.7.20 ]
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降低重症患者人工气道湿化不足发生率
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年07期
页码:
080-85
栏目:
QC小组平台
出版日期:
2022-07-28

文章信息/Info

Title:
Reducing the Incidence of Insufficient Artificial Airway Humidification in Severe Patients
作者:
王茹王毓张婷婷汪超
空军军医大学第一附属医院
Author(s):
WANG RuWANG YuZHANG Tingting
The First Affiliated Hospital of Air Force Military Medical University
关键词:
品管圈问题解决型品管圈重症患者人工气道气道湿化
Keywords:
Quality Control Circle Problem Solving Quality Control Circle Severe Patients Artificial Airway Airway Moisture
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2022.29.7.20
文献标志码:
B
摘要:
目的降低重症患者人工气道湿化不足发生率。方法开展品管圈活动,通过医护双方合作,优化气道管理团队,完善人工气道湿化评估方案,改良气道湿化装置,增加气道湿化途径,实行复合序贯式湿化-排痰护理管理模式等,实现了气道湿化、辅助排痰、气道廓清一体化。结果重症患者人工气道湿化不足发生率从28.57%降低至11.26%,目标达标率为100.58%,进步率为60.59%。结论通过开展品管圈活动,规范了重症患者人工气道湿化方案,降低了气道相关并发症发生率,有效改善了患者治疗结局,提升了医疗质量。
Abstract:
ObjectiveTo reduce the incidence of insufficient artificial airway humidification in severe patients. MethodsThrough the cooperation of doctors and nurses, quality control circle activity was performed to optimize the airway management team, improve artificial airway humidification evaluation scheme, improve the airway humidification device, increase the airway humidification pathways, and implement the composite sequential humidification and sputum discharge nursing management mode, so as to realize the integration of airway humidification, auxiliary sputum discharge and airway clearance. ResultsThe incidence of insufficient artificial airway humidification in severe patients fell from 28.57% to 11.26%, and the target rate was 100.58%, and the progress rate was 60.59%. Conclusion By carrying out the quality control circle activity, the scheme of artificial airway humidification in severe patients was standardized, and the incidence of airway related adverse effects was reduced, which effective improved patients' treatment outcomes and medical quality.

参考文献/References:

[1]中华医学会神经外科学分会,中国神经外科重症管理协作组.中国神经外科重症管理专家共识(2020版)[J].中华医学杂志,2020,100(19):1443-1458. [2]中华医学会神经外科学分会,中国神经外科重症管理协作组.中国神经外科重症患者气道管理专家共识(2016)[J].中华医学杂志,2016,96(21):1639-1642. [3]彭刚艺,刘雪琴.临床护理技能规范[M].2版.广东:广东科技出版社,2013:266. [4]葛慧青,孙 兵,王 波.重症患者气道廓清技术专家共识[J].中华重症医学电子杂志(网络版),2020,6(3):272-282. [5]董 晨.气管切开患者气道湿化方法的相关研究[D].西安:第四军医大学,2017. [6]骆 洁.集束化护理干预对防止危重患者人工气道痰痂堵管的效果分析[J].解放军医院管理杂志,2017,24(11):1072-1075. [7]韩 倩.重症颅脑手术患者人工气道的系统管理[J].实用临床医药杂志,2018,22(6):57-59. [8]LEONE M,EINAV S,CHIUMELLO D,et al.Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient: a joint ESA/ESICM guideline[J].Intensive Care Med, 2020, 46(4): 697-713. [9]MUKAE H,KANEKO T,OBASE Y,et al. The Japanese respiratory society guidelines for the management of cough and sputum(digest edition)[J].Respir Investig,2021,59(3):270-290. [10]王 静,皮红英.两种不同气道湿化方法对气管切开患者影响的Meta分析[J].中华危重病急救医学,2016,28(1):63-69. [11]高先连,叶海春,李 丽.不同气道湿化方式对降低颅脑损伤气管切开患者并发症发生率效果的Meta分析[J].上海护理,2020,20(10):14-18. [12]唐婧.微量泵改良组件在神经外科金属气管导管患者持续湿化气道中的应用[J].护士进修杂志,2019,34(4):380-382. [13]宗雅娟,周 姣,谷丽宁,等.两种气道湿化方式在ICU气管切开脱机患者中的应用效果研究[J].中华现代护理杂志,2018,24(35):4284-4287. [14]沈国平,孙 辉,朱湘筠,等.改良型一次性雾化器的设计和应用方法[J].中华危重病急救医学,2020,32(3):376-377. [15]胡祥莹,俞蕾蕾,胡嘉乐,等.运用Delphi法确立国内成人病人人工气道湿化护理循证实践方案[J].护理研究,2016,30(12):4255-4256. [16]赵 婷,李海红,金 娟,等.降低腹部 Ⅱ 类切口感染发生率[J].中国卫生质量管理,2021,28(7):86-90. [17]宦海燕,李 晶,张 丹,等.ICU人工气道湿化护理现状的调查研究[J].护理实践与研究,2019,16(18):8-10. [18]YOSHIMURA J,HASHIMOTO H,YAMAKAWA K,et al.Antibiotic stewardship in critically ill patients with suspected ventilator-associated pneumonia[J].Ann Transl Med,2020,8(20):1329.

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更新日期/Last Update: 2022-07-28