International Journal of Nursing Research

Objective To study the clinical effect of personalized sputum aspiration nursing scheme for patients with critical artificial airway. Methods Ninety-eight critically ill patients with artificial airway treated in our hospital from January 2023 to May 2024 were randomly divided into two groups according to different nursing methods. The control group (n=49) received conventional sputum aspiration nursing measures, and the observation group (n=49) received personalized sputum aspiration nursing plans. oxy-gen partial pressure (PaO2) and pressure of arterialcarbon dioxide (PAO2) were recorded and compared between the two groups before and after care. arterial oxygen saturation (SaO2), arterial oxygen saturation (PaCO2) and other blood gas analysis indicators. Clinical indexes such as sputum aspiration interval, average daily number of sputum aspiration, cleanliness of sputum aspiration tube, mechanical ventilation time, artificial airway retention time and hospital stay were recorded in the two groups. The incidence of adverse reactions in the two groups was analyzed. To investigate the nursing satisfaction of the two groups of patients, including health education, active service consciousness, special operation technology, sputum suction nursing and other 4 aspects. Results Compared with the control group, the PaO2 and SaO2 levels in the observation group were higher, and the PaCO2 levels were lower (P < 0.05). Compared with control group, observation group had higher sputum aspiration interval time, sputum aspiration tube cleanliness, lower average daily sputum aspiration times, mechanical ventilation time, artificial airway retention time and hospital stay (P < 0.05). Compared with the control group (28.57%), the total incidence of adverse reactions in the observation group (10.20%) was lower (P < 0.05). Compared with the control group, the scores of health education, active service consciousness, special operation technology, sputum aspiration care and the total score of satisfaction in the observation group were higher (P < 0.05). Conclusion The application of personalized sputum aspiration nursing scheme in the clinical nursing of critically ill artificial airway patients can effectively improve the bodys blood gas, reduce the number of sputum aspiration, shorten the hospital stay, promote the recovery of patients, and have less adverse reactions, with higher nursing satisfaction and clinical application value.

Artificial airway; Arterial partial pressure of oxygen; Adverse reactions; Aspirate sputum; Nursing satisfaction