ICU重症脑卒中患者实施集束化护理的效果观察

Observation of the Effect of Clustering Nursing in Patients with Severe Stroke in ICU

目的:探讨集束化护理对ICU重症脑卒中患者临床效果的影响。方法:将2016年7月-2017年9月份在笔者所在医院ICU接受治疗的80例重症脑卒中患者按照入住ICU的时间先后分成两组,对照组采取常规ICU护理,观察组实施集束化护理,对比两组患者的护理效果。结果:观察组ICU监护时间(2.31±1.12)d、导管拔除时间(7.58±2.25)d,短于对照组患者(P<0.05);观察组患者压疮发生率5.0%,误吸发生率7.5%,明显少于对照组患者(P<0.05)。结论:对ICU重症脑卒中患者实施集束化护理有利于尽早离开ICU监护,缩短导管拔除时间,有效降低患者的压疮和误吸发生率,从而提升了整体临床效果。

Objective：To investigate the effect of clustering care on the clinical outcome of patients with ICU severe stroke.Method：Eighty patients with severe stroke treated in the ICU of our hospital from July 2016 to September 2017 were divided into two groups according to the time of ICU admission.The control group received routine ICU care and the observation group performed bundled care.Care effect of two groups of patients were compared.Result：In the observation group,the ICU monitoring time （2.31±1.12）d and catheter removal time （7.58±2.25） d were shorter than those in the control group（P〈0.05）.The incidence of pressure sores in the observation group was 5.0%,and the rate of aspiration was 7.5%,which were significantly less than the control group（P〈0.05）. Conclusion：The implementation of bundled nursing in patients with ICU severe stroke is beneficial to leave the ICU as early as possible,shorten the catheter removal time,effectively reduce the incidence of pressure ulcers and aspirations,and improve the overall clinical effect.