Application of Nurse-led Shuhua Shallow Sedation in Patients with Mechanical Ventilation in ICU
Objective:To explore the application value of nurse-led Shuhua shallow sedation in patients with mechanical ventilation in ICU.Methods:A total of 60 patients with non-acute respiratory distress syndrome(ARDS)who needed analgesia and sedation through mechanical ventilation admitted to Sihui People's Hospital from May 2021 to October 2023 were collected and randomly divided into two groups according to digital table method:control group(n=30)and intervention group(n=30).The control group was given routine sedation and analgesia management;In the intervention group,eCASH and analgesic management were ignored.Mechanical ventilation time,ICU stay days and one-time successful extubation rate were compared between the two groups.The incidence of delirium and adverse events during ICU stay were compared between the two groups.The outcomes of acute physiological function and Chronic Health Status Scoring System Ⅱ(APACHE Ⅱ)and Barthel Index Rating Scale(BI Index)were compared.Results:The mechanical ventilation time and ICU stay days in the intervention group were shorter than those in the control group,and the one-time successful extubation rate was 96.67％higher than 63.33％in the control group(P＜0.05).The incidence of delirium and ICU admission adverse events in the intervention group were lower than those in the control group(P＜0.05).The A-PACHE Ⅱ score of the intervention group was lower than that of the control group when transferred out of ICU(P＜0.05).The BI index score of the observation group was higher than that of the control group(P＜0.05).Conclusion:The implementation of nurse-led Shuhua shallow sedation management in patients with mechanical ventilation during ICU stay is beneficial to reducing mechanical ventilation time and ICU stay days,increasing one-time successful extubation rate,and has high safety,can reduce the risk of delirium,improve the severity of disease and daily living ability of patients,and is worthy of promotion.
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