Evaluation of the effect of bundled care on patients with oral tracheal intubation in NICU during mechanical ventilation and before and after programmed weaning
NICU经口气管插管患者机械通气期间及程序化脱机前后予以集束化护理的效果评价

摘要

目的 探讨NICU经口气管插管患者在机械通气期间治疗以及程序化脱机前后展开集束化护理的临床效果。方法 研究的时间节点为2024年2月-2025年2月，样本选取即NICU经口气管插管实施机械通气治疗患者，共计80例，在奇偶数的随机指导下划分组别，即参照组、研究组，各有40例，分别展开常规护理、集束化护理，比对临床指标、脱机状况。结果 临床状况组间差异大，且研究组机械通气时间（5.11±0.89）d、住院时间（10.06±1.23）d均相比参照组有更短表现（P＜0.05）。脱机状况组间差异大，且研究组脱机成功率97.50%、气管插管非计划性拔管发生率5.00%、呼吸机相关性肺炎发生率0.00%均相比参照组同项82.50%、20.00%、15.00%有更低表现（P＜0.05）。结论 集束化护理用于NICU经口气管插管患者的机械通气期间以及程序化脱机前后均有较好效果，不仅可缩短治疗周期，还可提高脱机成功率，值得推广。

Abstract

Objective To explore the clinical effect of bundled care on patients with oral tracheal intubation in NICU during mechanical ventilation and before and after programmed weaning.
Methods The research period was from February 2024 to February 2025. A total of 80 patients with oral tracheal intubation in NICU who received mechanical ventilation treatment were selected as samples. They were randomly divided into the control group and the study group, with 40 cases in each group. The control group received conventional care, while the study group received bundled care. Clinical indicators and weaning status were compared.
Results There were significant differences in clinical conditions between the groups. The mechanical ventilation time (5.11 ± 0.89) days and hospital stay (10.06 ± 1.23) days in the study group were shorter than those in the control group (P < 0.05). There were significant differences in weaning status between the groups. The weaning success rate (97.50%), the incidence of unplanned extubation (5.00%), and the incidence of ventilator-associated pneumonia (0.00%) in the study group were lower than those in the control group (82.50%, 20.00%, and 15.00%, respectively) (P < 0.05).
Conclusion   Bundled care has a good effect on patients with oral tracheal intubation in NICU during mechanical ventilation and before and after programmed weaning. It not only shortens the treatment cycle but also improves the weaning success rate and is worthy of promotion.