首页|以ICU护士为主导的程序化镇痛镇静方案结合预见性护理干预对ICU多发伤患者康复情况的影响

以ICU护士为主导的程序化镇痛镇静方案结合预见性护理干预对ICU多发伤患者康复情况的影响

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目的 探究以ICU护士为主导的程序化镇痛镇静方案结合预见性护理干预对ICU多发伤患者康复情况的影响。方法 选取2019 年4 月至 2022 年 7 月我院收治的 70 例ICU多发伤患者为研究对象,以入院接受治疗时间差异将其分为对照组和观察组,每组 35 例。对照组接受常规护理,观察组在对照组护理方案基础上加施以ICU护士为主导的程序化镇痛镇静方案结合预见性护理干预。比较两组的干预效果。结果 观察组的机械通气时间、ICU入住时间、导管留置时间以及住院时间均短于对照组(P<0。05)。干预后,观察组的促肾上腺皮质激素(ACTH)、前列腺素E2(PGE2)水平及视觉模拟评分法(VAS)评分均低于对照组(P<0。05)。观察组的感染总发生率低于对照组(P<0。05)。结论 以ICU护士为主导的程序化镇痛镇静方案结合预见性护理干预可减轻ICU多发伤患者疼痛反应,促进康复,值得推广。
Effect of programmed analgesia and sedation program led by ICU nurses combined with predictive nursing intervention on the rehabilitation of patients with multiple injuries in ICU
Objective To explore the effect of programmed analgesia and sedation program led by ICU nurses combined with predictive nursing intervention on the rehabilitation of patients with multiple injuries in ICU.Methods A total of 70 patients with multiple injuries in ICU admitted in our hospital from April 2019 to July 2022 were selected as the research objects.The patients were divided into control group and observation group according to the difference of treatment time on admission,with 35 cases in each group.The control group received routine nursing,and the observation group was given programmed analgesia and sedation program led by ICU nurses combined with predictive nursing intervention on the basis of the nursing program of the control group.The intervention effects of the two groups were compared.Results The mechanical ventilation time,ICU stay time,catheter indwelling time and hospitalization time of the observation group were shorter than those of the control group(P<0.05).After intervention,the levels of adrenocorticotrophic hormone(ACTH),prostaglandin E2(PGE2)and Visual Analogue Scale(VAS)score in the observation group were lower than those in the control group(P<0.05).The total incidence of infection in the observation group was lower than that in the control group(P<0.05).Conclusion The programmed analgesia and sedation program led by ICU nurses combined with predictive nursing intervention can reduce the pain response of patients with multiple injuries in ICU and promote rehabilitation,which is worthy of promotion.

ICUmultiple injuriesprogrammed analgesia and sedation programpredictive nursing interventionrehabilitationpain response

郭龙艳、张燕

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延安大学咸阳医院,陕西 咸阳,712000

ICU 多发伤 程序化镇痛镇静方案 预见性护理干预 康复情况 疼痛反应

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(27)