PDF(Pubmed)
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.
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(LDP)可视喉镜引导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月在LDP全身麻醉下行气管插管的130例患者，并根据其接受的护理模式进行分组。将65例在术中接受常规护理配合的患者纳入对照组（Con），65例患者在Con基础上接受综合护理配合纳入观察组(Obs组)。两种护理干预模式对急性压疮程度的影响,并发症,医患满意度,压力伤害的持续时间和面积，护理费用，和QoL进行了比较。
结果：术中急性压力损伤的发生率在Obs（3.08％）和Con（21.54％）之间存在显着差异（P<0.05）。Obs还显示出较低的并发症发生率，例如压力损伤，肢体肿胀,肢体麻木和肌肉酸痛优于Con（P<0.05）。护士的满意度,病人,Obs组麻醉医师和外科医生均为100.00%,高于Con的(93.85%，89.23%,92.31%和90.77%，分别)。Obs患者的压力损伤持续时间较短，压力损伤面积较小,护理费用较少(P<0.05)。护理后,社会/身体功能的分数，活力,角色-情感/身体，心理健康,Obs和身体疼痛均优于Con（P<0.05）。
结论：对LDP下可视喉镜引导经口气管插管患者实施综合护理配合可降低并发症的发生率。降低急性压力损伤的程度，提高医患满意度，并提高患者的QoL。
方法：纳入2020年1月至2021年12月在LDP全身麻醉下行气管插管的130例患者，并根据其接受的护理模式进行分组。将65例在术中接受常规护理配合的患者纳入对照组（Con），65例患者在Con基础上接受综合护理配合纳入观察组(Obs组)。两种护理干预模式对急性压疮程度的影响,并发症,医患满意度,压力伤害的持续时间和面积，护理费用，和QoL进行了比较。
结果：术中急性压力损伤的发生率在Obs（3.08％）和Con（21.54％）之间存在显着差异（P<0.05）。Obs还显示出较低的并发症发生率，例如压力损伤，肢体肿胀,肢体麻木和肌肉酸痛优于Con（P<0.05）。护士的满意度,病人,Obs组麻醉医师和外科医生均为100.00%,高于Con的(93.85%，89.23%,92.31%和90.77%，分别)。Obs患者的压力损伤持续时间较短，压力损伤面积较小,护理费用较少(P<0.05)。护理后,社会/身体功能的分数，活力,角色-情感/身体，心理健康,Obs和身体疼痛均优于Con（P<0.05）。
结论：对LDP下可视喉镜引导经口气管插管患者实施综合护理配合可降低并发症的发生率。降低急性压力损伤的程度，提高医患满意度，并提高患者的QoL。
