基于奥马哈系统护理模式在ICU重症呼吸衰竭患者中的应用效果

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Abstract Objective To investigate the application effect of Omaha system-based nursing model on the prognosis and complications of ICU patients with severe respiratory failure.Methods Seventy patients with ICU severe respiratory failure admitted to Lianhua People′s Hospital from February 2016 to May 2018 were enrolled in the study.They were randomly divided into control group and observation group,35 cases in each group.The control group was received routine ICU nursing.The observation group was received interventions based on the ICU nursing model of Barack Obama-Harvar.Prognosis,ventilator weaning,tatal satisfaction,and rate of complications were compared between the two groups.Results The time of ICU stay，hospital stay and mechanical ventilation in the observation group were shorter than those in the control group (P＜0.05）.The success rate and total satisfaction of one-off ventilator withdrawal in the observation group were higher than those in the control group(P＜0.05）.The dependence rate of ventilator in the observation group was lower than that in the control group(P＜0.05）.The incidence of complications such as flatulence,compression injury,dysphoria in oropharynx and tongue,and phlegm obstruction in the observation group were lower than those in the control group,the differences were statistically significant(P＜0.05）.Conclusion Using Omaha systembased care mode to care for ICU patients with severe respiratory failure can effectively improve patient prognosis and prevent complications and improve patient satisfaction and ventilator withdrawal success rate.

Key words： Omaha system ICU severe respiratory failure Prognosis Complications

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	JIANG Hui
	YANG Jin-hua
	Jiang Ming-yuan
	YANG Hong-lian

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JIANG Hui,YANG Jin-hua,Jiang Ming-yuan, et al. Application effect of nursing mode based on Omaha system on prognosis and complications of ICU patients with severe respiratory failure[J]. 中国当代医药, 2019, 26(7): 208-210转225.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I7/208

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