Application of Standardized Nursing Procedures Combined with Specialized Management Education in Extracorporeal Membrane Oxygenation in ICU

Abstract

To analyze the application effect of standardized nursing procedures combined with specialized management education in extracorporeal membrane oxygenation (ECMO) in ICU.18 patients treated with ECMO in our department from July 1, 2020 to December 30, 2020 were chosen as observation group, and 18 patients receiving ECMO in our department (January 2017-June 2018) were selected as control group. The control group received routine procedures in the implementation of ECMO nursing while the observation group received standardized ECMO nursing procedures combined with specialized management education to analyze the effect of different nursing management methods on ECMO patients by comparing the indexes before and after nursing management.There were no obvious differences in gender ratio, average age, average weight, average BMI, marital status, education and residence between the two groups (P > 0.05). Personnel arrival time, start time of rescue, preparation time of items, pipeline prefilling time and catheter completion time in observation group were obviously better compared with control group (P < 0.001). The total clinical efficacy rate in observation group was obviously higher compared with control group (P < 0.05). There were no significant differences in the PaO₂, SPO₂ and PaCO₂ levels between the two groups before nursing management (P > 0.05), and the levels in observation group were obviously higher compared with control group after nursing management (P < 0.001). The clinical nursing satisfaction in observation group was obviously higher compared with control group (P < 0.05). The sequential organ failure assessment (SOFA) score in observation group after nursing management was obviously lower compared with control group (P < 0.001). The incidence of complications in observation group was obviously lower compared with control group (P < 0.05). The implementation of standardized nursing procedures combined with specialized management education for ECMO patients can effectively shorten rescue time, the preparation time before catheterization and catheter completion time, improve the therapeutic effect, and improve blood gas indicators, safe and effective. At the same time, it can facilitate the doctor-nurse cooperation, worthy of promotion and application.