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| Application of Prone Ventilation Positioning Intervention Based on the ABC-X Theory in Patients with Severe ARDS |
| XU Ruina, MENG Jia, ZHANG Mingming |
| Department of Critical Care Medicine, Xuchang Central Hospital, Xuchang Henan 461000 |
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Abstract 【Objective】 To investigate the effects of prone ventilation positioning intervention based on the ABC-X theory in patients with severe acute respiratory distress syndrome (ARDS). 【Methods】 A total of 92 ARDS patients were randomly divided into a control group and an observation group, with 46 cases in each group. The control group received routine interventions, while the observation group underwent a prone ventilation positioning intervention based on the ABC-X theory. Oxygenation indicators[percutaneous pulse oxygen saturation (SpO2), arterial oxygen partial pressure (PaO2), arterial carbon dioxide partial pressure (PaCO2)], pulmonary function indicators [forced expiratory volume in one second (FEV1), forced vital capacity (FVC), peak expiratory flow (PEF)], quality of life [36-Item Short Form Health Survey (SF-36) score], and incidence of adverse events before and after intervention were compared between the two groups. 【Results】 After the intervention, SpO2, PaO2, FEV1, FVC, PEF, and SF-36 scores in the observation group were significantly higher than those in the control group (all P<0.05), while PaCO2 level and the incidence of adverse events in the observation group were significantly lower than those in the control group (all P<0.05). 【Conclusion】 The prone ventilation positioning intervention based on the ABC-X theory can significantly improve oxygenation parameters, pulmonary function, and quality of life in patients with severe ARDS, while reducing the occurrence of adverse events. It is an effective intervention strategy.
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Received: 19 December 2024
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[1] 蒲昆鹏,刘辉,张贺,等. PiCCO监测下液体复苏治疗脓毒症休克合并重度急性呼吸窘迫综合征的价值研究[J].中国现代医学杂志,2023,33(1):71-75. [2] 张菲,丁传利. 基于ABC-X理论模型干预对PICU急性呼吸窘迫综合征患儿家属疾病不确定感的影响[J].国际护理学杂志,2022,41(23):4356-4359. [3] 柯向群,马金鹏,保成英. 基于FMEA的精细化护理模式联合早期俯卧位通气在急性呼吸窘迫综合征患者中的应用及其对LBP、sTM和EVLWI的影响[J].中国急救复苏与灾害医学杂志,2022,17(4):512-516. [4] FERGUSON N D, FAN E, CAMPOROTA L, et al. The Berlin definition of ARDS: an expanded rationale, justification, and supplementary material[J].Int Care Med,2012,38(10):1573-1582. [5] 王宇娇,高岚,牟静静,等. 清醒俯卧位通气在急性呼吸窘迫综合征患者中的应用进展[J].中华护理杂志,2023,58(7):881-885. [6] 郑云鹏,朱望君,冯群英,等. 俯卧位通气在新冠肺炎引起的急性呼吸窘迫综合征患者通气策略中的应用[J].齐鲁护理杂志,2020,26(5):19-21. [7] BATTAGLINI D, FAZZINI B, SILVA P L,et al. Challenges in ARDS Definition, Management, and Identification of Effective Personalized Therapies[J].J Clin Med,2023,12(4):1381. [8] MALIK G R, WOLFE A R, SORIANO R, et al. Injury-prone: peripheral nerve injuries associated with prone positioning for COVID-19-related acute respiratory distress syndrome[J].Br J Anaesth,2020,125(6):e478-e480. [9] DING L, WANG L, MA W H, et al.Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study[J].Crit Care,2020,24(1):28. [10] 王美兰,王小燕,徐静,等. 中重度急性呼吸窘迫综合征病人实施俯卧位通气的疗效观察与风险管理[J].护理研究,2015(28):3566-3567. [11] 宋淳,仲秀玲,李燕,等. 俯卧位通气体位管理垫在重度急性呼吸窘迫综合征病人中的应用效果[J].护理研究,2023,37(10):1857-1860. [12] GUÉRIN C, ALBERT R K, BEITLER J,et al. Prone position in ARDS patients: why, when, how and for whom[J].Intensive Care Med,2020,46(12):2385-2396. [13] LUCCHINI A, BAMBI S, MATTIUSSI E, et al. Prone position in acute respiratory distress syndrome patients: a retrospective analysis of complications[J].Dimens Crit Care Nurs,2020,39(1):39-46. |
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