ABSTRACT
OBJECTIVE: To determine the application value of precise positioning for sputum expectoration in intensive care unit (ICU) hospitalized patients with pulmonary infection (PI). METHODS: A total of 183 patients with PI treated in the ICUs of Shengjing Hospital of China Medical University from June 2019 to June 2020 were divided into a control group (n = 91) and an observation group (n = 92), all of whom received conventional drug therapy. The control group was given routine nursing intervention, based on which, the observation group was supplemented with precise positioning for sputum expectoration. The 24-hour sputum volume, respiratory rate (RR), blood gas analysis indexes, inflammatory indicators, Clinical Pulmonary Infection Score (CPIS), Modified Medical Research Council (mMRC) dyspnea scale score, and quality of life (36-Item Short-Form Health Survey, SF-36) were observed in both arms before and after intervention. The incidence of adverse reactions was counted. RESULTS: The observation group showed better mMRC scores than the control group (P < 0.05). Compared with the control group, the sputum volume, RR, and CPIS score were lower, and the SF-36 score was higher in the observation group 7 days after intervention (P < 0.05). After intervention, the oxygen saturation (SaO2) and partial pressure of oxygen (PaO2) were higher, while the carbon dioxide partial pressure (PaCO2), C-reactive protein (CRP), procalcitonin (PCT), and leukocyte count were lower in the observation group compared with the control group (P < 0.05). There was no significant difference in the incidence of complications between the two arms (P > 0.05). CONCLUSION: The application of precise positioning for sputum expectoration in nursing intervention of ICU patients with PI can alleviate the severity of PI and dyspnea, reduce inflammatory reaction, and improve the quality of life of patients.
Subject(s)
Drainage, Postural/nursing , Patient Positioning/nursing , Pneumonia/nursing , Sputum/physiology , Adult , Aged , Aged, 80 and over , China , Computational Biology , Critical Care , Female , Humans , Intensive Care Units , Male , Middle Aged , Pneumonia/diagnostic imaging , Pneumonia/physiopathologyABSTRACT
BACKGROUND: Skin damage under various drainage tubes and parenteral access lines occurs frequently in pediatric patients. Our team sought an alternative to the use of gauze or foam for prevention and management of peritubular skin damage. CASES: We used a moisture wicking fabric in select patients in a tertiary children's hospital in Northern California. The fabric was placed under tracheostomy ties and around gastrostomy tubes and Penrose drains. CONCLUSION: The moisture wicking fabric was effective in absorbing moisture and maintaining skin integrity. This new approach has been incorporated into our facility policy.
Subject(s)
Occlusive Dressings/standards , Paracentesis/adverse effects , Skin Ulcer/prevention & control , California , Child , Child, Preschool , Drainage, Postural/adverse effects , Drainage, Postural/nursing , Gastrostomy/adverse effects , Gastrostomy/instrumentation , Hospitals, Pediatric/organization & administration , Humans , Infant , Intubation, Intratracheal/adverse effects , Intubation, Intratracheal/nursing , Occlusive Dressings/microbiology , Paracentesis/instrumentation , Skin Ulcer/physiopathologyABSTRACT
Los indicadores mas habituales para la colocación de un drenaje toracico son neumotorax espontaneo o a tension, neumotorax, derrame pleural en post operado de cirugia cardiaca, con el objetivo de drenar y liberar la cavidad pleural o mediastino de la presencia anomala de aire, sangre o liquido excesivo. En la actualidad se dispone de avanzados y diversos sistemas cerrados de drenaje toracicos desechables, que garantizan un manejo optimo y seguro para el paciente. Conocer los principios tecnicos basicos pra su correcta utilizacion y los cuidados de enfermeria, nos permitira una actuacion eficiente en la valoracion, control y seguimiento y evolucion del paciente con este dispositivo y preservarlo de las posibles complicaciones.(AU)
Subject(s)
Humans , Drainage, Postural/nursing , Critical Care , Pneumothorax/nursingABSTRACT
Los indicadores mas habituales para la colocación de un drenaje toracico son neumotorax espontaneo o a tension, neumotorax, derrame pleural en post operado de cirugia cardiaca, con el objetivo de drenar y liberar la cavidad pleural o mediastino de la presencia anomala de aire, sangre o liquido excesivo. En la actualidad se dispone de avanzados y diversos sistemas cerrados de drenaje toracicos desechables, que garantizan un manejo optimo y seguro para el paciente. Conocer los principios tecnicos basicos pra su correcta utilizacion y los cuidados de enfermeria, nos permitira una actuacion eficiente en la valoracion, control y seguimiento y evolucion del paciente con este dispositivo y preservarlo de las posibles complicaciones.(AU)
Subject(s)
Humans , Drainage, Postural/nursing , Critical Care , Pneumothorax/nursingABSTRACT
Los indicadores mas habituales para la colocación de un drenaje toracico son neumotorax espontaneo o a tension, neumotorax, derrame pleural en post operado de cirugia cardiaca, con el objetivo de drenar y liberar la cavidad pleural o mediastino de la presencia anomala de aire, sangre o liquido excesivo. En la actualidad se dispone de avanzados y diversos sistemas cerrados de drenaje toracicos desechables, que garantizan un manejo optimo y seguro para el paciente. Conocer los principios tecnicos basicos pra su correcta utilizacion y los cuidados de enfermeria, nos permitira una actuacion eficiente en la valoracion, control y seguimiento y evolucion del paciente con este dispositivo y preservarlo de las posibles complicaciones.
Subject(s)
Humans , Critical Care , Drainage, Postural/nursing , Pneumothorax/nursingABSTRACT
Ensayo de interesantísima actualidad sobre las consideraciones en torno a la necesidad de realizar cambios posturales para prevenir upp, con qué frecuencia hacerlos y qué otras medidas pueden emplearse(AU)
Interesting essay today on considerations about the need to make changes to prevente postural upp, how often do them and what other measres can be used(AU)
Subject(s)
Humans , Male , Female , Posture/physiology , Pressure Ulcer/nursing , Bioethics/trends , Risk Factors , Nursing/standards , Nursing/trends , Drainage, Postural/nursing , Ethics, NursingABSTRACT
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