The impact of evidence-based refined airway management strategies on the nursing outcomes of mechanically ventilated patients in intensive care units

GONG Ping; ZONG Yajuan

doi:10.12102/j.issn.2095-8668.2025.15.005

Abstract：Objective:To explore evidence-based refined airway management strategies in the intensive care unit(ICU),aiming to optimize nursing practices and enhance the quality of care and safety for critically ill patients.Methods:A questionnaire survey via questionnaire star was conducted from March to May 2022 to assess ICU 65 nurses'current knowledge,attitudes,and practices regarding airway management,followed by targeted skill training.A total of 73 first-time treated patients admitted to a secondary Grade A hospital in Jiangsu Province from March 2022 to February 2023 were selected as the control group and received routine airway care.Another 75 first-time treated patients admitted from March 2023 to February 2024 were selected as the observation group and received evidence-based refined airway management strategies.Outcomes including lung infection scores,mechanical ventilation duration,ICU length of stay,extubation success rate,and weaning trial success rate were compared between the two groups.Results:The observation group demonstrated significantly lower lung infection scores and shorter mechanical ventilation duration compared to the control group(P<0.05).The extubation success rate in observation group was higher than that in the control group,and complication risk incidence in the observation group was lower than that in the control group(P<0.05).However,no statistically significant difference was observed in ICU length of stay between the two groups(P>0.05).Conclusion:Evidence-based refined airway management strategies effectively improve clinical outcomes in ICU patients receiving mechanical ventilation,reduce pulmonary infections,shorten mechanical ventilation duration,and enhance extubation success rate,and reduce the incidence of complications.