Application effects of different prone positions nursing strategies in patients with acute respiratory distress syndrome

ObjectiveTo explore the application effects of improved and traditional prone position nursing strategies in patients with acute respiratory distress syndrome(ARDS).

MethodsFrom June 2017 to May 2019, 47 ARDS patients with prone position were divided into the control group(27 cases) and observation group(20 cases).The control group and observation group were nursed with traditional prone position(head and chest pad prone position and pillow elevation) and improved prone position nursing strategy based on mechanical distribution, respectively.The occurrence of complications(pressure injury and vomiting), changes of hemodynamicsheart rate(HR), mean arterial pressure(MAP) and central venous pressure(CVP) and changes of respiratory mechanicsairway resistance(R), chest and lung compliance(Cst) before and after prone position were compared between two groups.

ResultsThe incidence rate of stress injury in observation group was lower than that in control group(P < 0.05).There was no statistical significance in the incidence of vomiting and accidental detubation between two groups(P>0.05).The differences of the HR and CVP between two groups were not statistically significant before prone position and after 1h, 2h and 4h of prone position(P>0.05).The MAP in observation group before prone position was higher than that in control group(P < 0.05), and the differences of MAP between two groups were not statistically significant after 1h, 2h and 4h of prone position(P>0.05).The R in observation group before and after 1 h of prone position were higher than that in control group(P < 0.05 and P < 0.01), while there was no statistical significance in R between two groups after 2 h and 4 h of prone position(P>0.05).The differences of the Cst between two groups were not statistically significant before and after 1h, 2h and 4h of prone position(P>0.05).

ConclusionsCompared with the traditional prone position nursing strategy, the improved prone position ventilation nursing strategy can reduce the incidence of complications in ARDS patients, which is worthy of clinical promotion.