首页|危重症专职护理联合改良式体位管理对ICU呼吸衰竭患者康复效果的影响

危重症专职护理联合改良式体位管理对ICU呼吸衰竭患者康复效果的影响

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目的 探讨危重症专职护理联合改良式体位管理对ICU呼吸衰竭患者康复效果的影响.方法 采用前瞻性对照研究设计,选取2022年2月至2024年1月在厦门大学附属中山医院ICU接受治疗的122例呼吸衰竭患者,按入院时间分为对照组(60例)和实验组(62例).对照组给予常规ICU护理,实验组在此基础上实施危重症专职护理和改良式体位管理.比较两组患者的ICU入住时间、住院时间、机械通气时间、SCL-90 评分、MFI-20 评分及并发症发生率.结果 与对照组相比,实验组ICU入住时间、住院时间和机械通气时间均显著缩短(P<0.05);干预后SCL-90 评分和MFI-20 各维度评分均显著降低(P<0.001);并发症总发生率显著降低(5.00%vs.16.13%,P=0.034).结论 危重症专职护理联合改良式体位管理能有效缩短ICU呼吸衰竭患者的住院时间和机械通气时间,改善患者心理状态和疲劳症状,降低并发症发生率,对患者康复具有积极影响.
The Impact of Specialized Critical Care Nursing Combined with Modified Position Management on the Rehabilitation Effect of ICU Patients with Respiratory Failure
Objective Exploring the impact of specialized critical care nursing combined with modified position management on the rehabilitation Effect of ICU patients with respiratory Failure.Methods A prospective controlled study design was adopted.A total of 122 patients with respiratory failure treated in the ICU of Zhongshan Hospital Affiliated to Xiamen University from February 2022 to January 2024 were selected and divided into a control group(60 cases)and an experimental group(62 cases)according to the admission time.The control group received routine ICU care,while the experimental group received specialized critical care nursing and modified position management in addition to routine ICU care.The ICU stay duration,hospital stay duration,mechanical ventilation duration,SCL-90 scores,MFI-20 scores,and incidence of complications were compared between the two groups.Results Compared with the control group,the ICU stay duration,hospital stay duration,and mechanical ventilation duration were significantly shorter in the experimental group(P<0.05).After intervention,the SCL-90 scores and MFI-20 dimension scores were significantly reduced(P<0.001).The total incidence of complications was significantly lower(5.00%vs.16.13%,P=0.034).Conclusions Specialized critical care nursing combined with modified position management can effectively shorten the hospital stay and mechanical ventilation duration for ICU patients with respiratory failure,improve their mental state and fatigue symptoms,reduce the incidence of complications,and have a positive impact on patient recovery.

Specialized Critical Care NursingModified Position ManagementRespiratory FailureRehabilitation Effect

周文智、汤海祥、杨鑫、刘巧惠

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厦门大学附属中山医院急诊ICU,福建厦门 361000

危重症专职护理 改良式体位管理 呼吸衰竭 康复效果

2024

生物医学工程学进展
上海市生物医学工程学会

生物医学工程学进展

影响因子:0.504
ISSN:1674-1242
年,卷(期):2024.45(4)