CHĂM SÓC NGƯỜI BỆNH NGỘ ĐỘC CẤP CÓ THỞ MÁY TẠI TRUNG TÂM CHỐNG ĐỘC BỆNH VIỆN BẠCH MAI NĂM 2020

Abstract

Objective: to evaluet the results of care for patients with acute poisoning under mechanical ventilation at Bach Mai Hospital Poison Control Center and identify related factors. Subjects and methods: A cross-sectional study of 135 patients with acute poisoning under mechanical ventilation admitted to the Poison Control Center, Bach Mai Hospital from 01/2020 to 9/2020. Observational data were recorded using a combination of collection and care sheets for patients under mechanical ventilation, checklists of procedures and tools used to care for patients. Results: The percentage of patients with good care was 85.2%. Receiving vibrating pat for respiratory therapy was 4.93 times more likely to have good care (p <0.05) compared with not performing vibration. Cuff care >3 times/day was likely to be associated with good care (OR = 4.35) compared with care with frequency ≤ 3 times/day (p <0.05). Conclusions: Nursing care plays a very important role in patient care, especially in acute poisoned patients with mechanical ventilation. Vibration for respiratory therapy and cuff care were associated with better care results.