Volume 29, Issue 3
DOI: 10.24205/03276716.2020.904
Clinical Nursing Coordination Points of Extracorporeal Membrane Oxygenation (ECMO) in the Treatment Process
Abstract
Objective: The purpose was to analyze and study clinical nursing coordination points of extracorporeal membrane oxygenation (ECMO) in the treatment process.
Methods. The clinical data of 100 critically ill patients treated in our hospital from January 2018 to January 2020 were retrospectively analyzed. The patients were randomly divided into test group and control group with 50 cases in each group. Patients in the control group were given routine clinical nursing while those in the test group were given intensive clinical nursing, and the therapeutic effects of the two groups were compared. Results. The auxiliary time of ECMO in the test group (14.37±1.78) d was significantly better than that in the control group (13.18±1.42) d, and the difference was statistically significant (t=3.695, P = 0.000). The hospital stays in the test group (36.27±1.56) d was significantly better than that in the control group (41.33±2.07) d, and the difference was statistically significant (t=13.804, P = 0.000). The total incidence of complications was 8% in the test group and 32% in the control group, and the difference was statistically significant (x2=9.000, P=0.003). The oxygen metabolism parameters in the test group were significantly better than those in the control group after treatment, and the difference was statistically significant (p<0.05). The on-board success rate, total offline rate and overall survival rate of the test group were 100%, 88%, 83% respectively, which were significantly better than 87%, 65%, 64% of the control group, and the difference was statistically significant (p<0.05).
Conclusion. Standardized ECMO clinical specialist nursing process can effectively shorten the ECMO auxiliary time and hospital stay, reduce clinical complications, improve various oxygen metabolism parameters of patients and improve the survival rate when ECMO rescue is given to critically ill patients.
Keywords
extracorporeal membrane oxygenation (ECMO); treatment process; clinical nursing