Effect of lung recruitment manoeuvre mode implemented by ICU specialist nurses on remission of patients with acute respiratory distress syndrome
10.3969/j.issn.1671-8283.2023.12.003
- VernacularTitle:专科护士主导的肺复张模式在急性呼吸窘迫综合征患者康复中应用的有效性与可行性分析
- Author:
Meishan CHEN
1
;
Man XIE
;
Huaru FANG
;
Bin LUO
;
Mengyun CHEN
Author Information
1. 揭阳市人民医院重症医学科,广东揭阳,522000
- Keywords:
recruitment manoeuvre;
acute respiratory distress syndrome;
specialist nurses;
intensive care unit;
randomised controlled trial
- From:
Modern Clinical Nursing
2023;22(12):17-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyse the effects of the lung recruitment manoeuvre(RM)mode implemented by ICU specialist nurses on remission of the patients with acute respiratory distress syndrome(ARDS),with the aim to explore the safety,feasibility and effectiveness of clinical implementation,and to further provide a new mode for patient management in nursing practice.Methods A total of 40 ARDS patients admitted into the ICU from January 2018 to August 2021 were randomly selected and divided into control group and trial group in equal number with a random number table.Patients in the control group was treated with a conventional RM mode implemented by doctors,and the RM mode implemented by the ICU specialist nurses was applied to the patients in trial group.The indexes of arterial blood gas analysis,mechanical ventilation time,length of ICU stay,number of RM,number of adjustments to a RM plan,and complication rate were compared between the two groups after the second RM implementation.Results There was no statistically significant difference in arterial partial pressure of oxygen,arterial partial pressure of carbon dioxide and oxygenation index between the groups at 1h and 24h after the second RM implementation(P>0.05).There was no statistically significant difference in the number of RM,mechanical ventilation and length of ICU stay between the groups(P>0.05).The number of modifications of the RM plan in the trial group was significantly more than that in the control group(P<0.05).There was no complication of RM in both groups.Conclusions The RM mode implemented by ICU specialist nurses could achieve good clinical effects in the treatment of patients with ARDS. The approach is safe and practicable.
