Abstract:

Objective　To study the effect of cluster magnetic nursing intervention mode on artificial airway management in patients with cerebral hemorrhage. Methods　A total of 120 patients with cerebral hemorrhage admitted to Department of Neurosurgery, Liaocheng Third People's Hospital between October 2019 and November 2021 were selected for the random control trial. They were divided into a control group and an observation group by the random number table method, with 60 cases in each group. There were 33 males and 27 females in the control group; they were (59.03±8.66) years old. There were 36 males and 24 females in the observation group; they were (57.78±9.52) years old. The control group took routine nursing. The observation group took cluster magnetic nursing. The times staying in intensive care unit (ICU), mechanical ventilation times, scores of Hamilton Anxiety Scale (HAMA) and General Self-Efficacy Scale (GSES), incidences of complications, and nursing satisfaction were compared between the two groups. The measurement data were compared between the two groups by independent-sample t test and within the groups by paired t test. The enumeration data were analyzed by χ² test. Results　The time staying in ICU and mechanical ventilation time were (6.57±0.71) d and (5.75±1.20) d in the observation group, and were (8.23±0.92) d and (6.83±1.14) d in the control group, with statistical differences between these two groups (both P<0.05). After the intervention, the HAMA score in observation group was lower than that in the control group [(9.30±2.65) vs. (11.01±3.32); P<0.05]; the GSES score in the observation group was higher than that in the control group [(25.73±4.28) vs. (21.40±3.54); P<0.05]. The incidence of complications in the observation group was lower than that in the control group [8.33% (5/60) vs. 23.33% (14/60); χ²=5.065, P=0.024]. The satisfaction rates of airway management, psychological nursing, and nurse-patient relationship in the observation group were higher than those in the control group [95.00% (57/60) vs. 81.67% (49/60), 96.67% (58/60) vs. 85.00% (51/60), and 98.33% (59/60) vs. 86.67% (52/60); all P<0.05]. Conclusion　The application of cluster magnetic nursing in artificial airway intervention for patients with cerebral hemorrhage is beneficial to relieve their negative emotions, reduce complications, and promote early recovery, with high satisfaction.

Key words:

Cerebral hemorrhage, Magnetic nursing concept, Cluster nursing, Mechanical ventilation, Artificial airway

摘要：

目的　研究基于磁性化护理理念的集束化干预模式（简称集束化磁性护理）对脑出血患者人工气道管理的影响。方法　选取2019年10月至2021年11月于聊城市第三人民医院神经外科收治的120例脑出血患者进行随机对照试验，随机数字表法将患者分为对照组和观察组，每组60例。对照组中，男33例，女27例，年龄（59.03±8.66）岁，采取常规护理干预；观察组中，男36例，女24例，年龄（57.78±9.52）岁，采取集束化磁性护理。比较两组患者的重症监护室（ICU）停留时间、机械通气时间、汉密顿焦虑量表（HAMA）和自我效能感量表（GSES）评分、并发症发生率以及护理满意度。计量资料的组间比较采用独立样本t检验，组内比较采用配对t检验，计数资料采用χ²检验。结果　观察组患者的ICU停留时间、机械通气时间分别为（6.57±0.71）d、（5.75±1.20）d，对照组分别为（8.23±0.92）d、（6.83±1.14）d，两组比较，差异均有统计学意义（均P<0.05）；干预后，观察组HAMA评分为（9.30±2.65）分，低于对照组的（11.01±3.32）分，GSES评分为（25.73±4.28）分，高于对照组的（21.40±3.54）分（均P<0.05）；观察组的并发症发生率为8.33%（5/60），对照组为23.33%（14/60），两组比较，差异有统计学意义（χ²=5.065，P=0.024）；观察组气道管理、心理护理以及护患关系的满意度均高于对照组［95.00%（57/60）比81.67%（49/60）、96.67%（58/60）比85.00%（51/60）、98.33%（59/60）比86.67%（52/60）］，两组比较，差异均有统计学意义（均P<0.05）。结论　对脑出血患者采取集束化磁性护理干预人工气道，有助于减轻患者不良情绪，减少并发症，促进患者尽早恢复，患者满意度高。

关键词:

脑出血, 磁性护理理念, 集束化护理, 机械通气, 人工气道