Application of self-made "medical ventilation chair" in patients with acute respiratory distress syndrome in prone position
10.3760/cma.j.cn211501-20220822-02664
- VernacularTitle:自制医用通气椅在急性呼吸窘迫综合征俯卧位通气患者中的应用
- Author:
Qiyu DONG
1
;
Chuang TAN
;
Zhi LU
;
Shuang WU
Author Information
1. 南华大学附属长沙中心医院呼吸与危重症医学科，长沙 410004
- Keywords:
Respiratory distress syndrome;
Prone position;
Mechanical ventilation;
Medical ventilation chair;
Application effect
- From:
Chinese Journal of Practical Nursing
2023;39(24):1880-1885
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of self-made medical ventilation chair in patients with acute respiratory distress syndrome (ARDS) ventilated in prone position, with the aim of reducing the occurrence of complications in patients with ARDS ventilated in prone position.Methods:This study was a quasi experimental research method. In this study, 78 patients admitted to the respiratory intensive care unit of Changsha Central Hospital affiliated to South China University from October 2019 to September 2021 were selected for the study by convenience sampling method, and were divided into a control group and a experimental group according to the order of admission, with 39 cases in each group. The experimental group was ventilated in the prone position using a self-made medical ventilation chair, and the control group was ventilated in the prone position using the conventional turning method, comparing the facial skin injury, tracheal displacement, tracheal tube obstruction, and RICU hospitalization time in the two groups.Results:At the end of prone position ventilation, the incidence of facial skin intact and redness and swelling was 56.41% (22/39) and 43.59% (17/39) in the experimental group and 25.64% (10/39) and 69.23% (27/39) in the control group, respectively, with statistically significant differences ( χ2=7.63, 5.21, both P<0.05); there was no statistically significant difference in the incidence of facial skin breakdown between the two groups ( P>0.05); the incidence of complications was 5.13% (2/39) in the experimental group and 20.51% (8/39) in the control group, with statistically significant differences ( χ2=4.13, P<0.05); the duration of RICU stay was (13.34 ± 3.85) days in the experimental group and ( 15.80 ± 5.55) days, with a statistically significant difference ( t=2.25, P<0.05). Conclusions:The use of self-made medical ventilation chair can reduce the facial skin damage of patients, reduce the occurrence of related complications, and shorten the hospitalization time of RICU. It is worth popularizing and applying in ICU.
