Effect of multi position prone position latex pad on patients with severe acute respiratory distress syndrome undergoing prone position ventilation
10.3760/cma.j.cn211501-20221027-03304
- VernacularTitle:多部位俯卧位乳胶垫在重度急性呼吸窘迫综合征行俯卧位通气患者中的应用效果
- Author:
Dacai XU
1
;
Rong DING
;
Lei ZHANG
;
Lu WANG
Author Information
1. 盐城市第一人民医院ICU，盐城 224001
- Keywords:
Multi position;
Latex pad;
Prone position ventilation;
Acute respiratory distress syndrom
- From:
Chinese Journal of Practical Nursing
2023;39(30):2329-2334
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of multi position prone position latex pad in patients with severe acute respiratory distress syndrome undergoing prone position ventilation, aiming to improve the effect of oxygenation therapy and reduce the complications associated with prone ventilation.Methods:A randomized controlled trial was used to select 80 patients with prone ventilation with severe acute respiratory distress syndrome who were admitted to the ICU of Yancheng First People ′s Hospital from February 2020 to February 2022 by convenient sampling method. The random number method was used to divide into experimental group and control group, with 40 cases in each group. The control group used soft pillow cushions for traditional prone ventilation, and the experimental group used homemade multi-site prone latex pads for prone ventilation. The effects of oxygenation therapy (oxygenation index and PaCO 2), the incidence of complications (pressure injury, artificial airway tube slippage, artificial airway tube bending) and nursing workload (length of turning over and total treatment time) were compared between the two groups. Results:After the intervention, the oxygenation index and PaCO 2 in the experimental group was (265.79 ± 21.15), (31.52 ± 3.43) mmHg (1 mmHg=0.133 kPa) respectively, and the control group was (177.43 ± 17.76), (39.73 ± 4.80) mmHg respectively and the differences between the two groups were statistically significant ( t=15.43, 10.17, both P<0.05). The incidence of pressure injury and artificial airway tube bending in the experimental group was 7.5% (3/40) and 0 respectively, and the control group was 37.5% (15/40) and 20.0% (8/40) respectively, and the differences between the two groups were statistically significant ( χ2=10.32, 8.89, both P<0.05). The incidence of artificial airway tube slippage in the experimental group and the control group was 0 and 7.5% (3/40) respectively, and there was no significant difference between the two groups ( χ2=3.12, P>0.05). The duration and total treatment duration of prone turning in the experimental group was (3.56 ± 0.53) min and (34.47 ± 3.72) h respectively, and the control group was (5.18 ± 0.61) min and (50.22 ± 4.60) h respectively, and the differences between the two groups were statistically significant ( t=6.25, 13.55, both P<0.05). Conclusions:The application of multi position prone position latex pad in patients with severe acute respiratory distress syndrome can significantly improve the oxygenation effect, reduce the incidence of complications and reduce the workload of nursing, which is worthy of clinical application.
