Quantitative assessment in the nursing of elderly patients with trachea after tracheotomy / 中国实用护理杂志

ABSTRACT

Objective:To explore the application value of quantitative assessment in the pipeline nursing after tracheotomy in elderly critical patients.Methods:A total of 108 elderly critically ill patients admitted to our hospital from January 2018 to January 2020 were treated with tracheotomy and given plumbing care after surgery. According to the random number table method, it was divided into a control group (54 cases) and an observation group (54 cases).The control group received routine nursing, and the observation group received nursing according to the quantitative evaluation results. The tube placement time, ventilator use time, monitoring time, and total hospitalization time were compared between the two groups. The changes of blood oxygen saturation (SpO 2), diastolic blood pressure (DBP), systolic blood pressure (SBP) and heart rate (HR) were compared on the 1st and 7th days after operation. The incidence of complications was recorded and the patients' satisfaction and quality of life were evaluated. Results:In the observation group, the catheter placement time, ventilator use time, monitoring time, and total hospital stay were (20.35±5.37) days, (9.65±3.53) days, (14.81±3.34) days and (31.29±4.87) days, respectively, compared with the control group (24.91±4.79) days, (11.81±4.02) days, (16.95±3.99) days, (35.97±6.51) days were significantly shortened ( t values were 3.153 to 4.657, P<0.05). SpO 2, DBP, and SBP of the control group were 0.975 2±0.018 3, (79.39±7.41) mmHg (1 mmHg=0.133 kPa) and (137.46±7.09) mmHg, respectively, at 1 week after operation, which were all higher than the preoperative 0.953 4±0.015 9 and (75.45± 8.01) mmHg, (134.66±6.61) mmHg ( t values were 6.608, 2.653, 2.123, P<0.05). SpO 2, DBP, and SBP in the observation group were 0.959 1±0.017 2, (76.13±6.94) mmHg, and (134.56±7.33) mmHg, respectively, in the observation group one week after operation, which were significantly lower than those in the control group ( t values were 4.711, 2.360, 2.090, P<0.05).The complication rate in the observation group was 11.11% (6/54), which was significantly lower than the 25.93% (14/54) in the control group ( χ2 value was 3.927, P<0.05). The total score of nursing satisfaction in the observation group was (61.52±8.03) points, which was higher than the (52.11±7.99) points in the control group ( t value was 6.104, P<0.05). Conclusion:Quantitative assessment can shorten the tube placement time, ventilator use time, monitoring time and total hospitalization time of elderly patients with critical tracheotomy, ensure stable postoperative vital signs. It can reduce the complication rate and improve the patients' satisfaction.