集束化干预在预防ICU苏醒期躁动患者中的应用

Application of cluster intervention in prevention of restlessness in ICU patients during recovery period

目的:探讨集束化干预在预防ICU苏醒期躁动患者中的应用效果。方法:抽取2016年1月至2017年1月于本院进行ICU治疗的并资源参与探究的90例患者,将其分为观察组(集束化干预)和参照组(常规护理),每组45例患者。分别给患者在拔出气管的5min、15min、30min后用Riker镇静和PARS评分。结果:观察组患者的5min、15min、30min的Riker镇静和PARS评分分别为(3.60±0.35)分、(3.61±0.39)分、(3.16±0.40)分、(12.27±1.38)分、(8.95±1.46)分、(4.27±0.96)分,参照组分别为(4.84±0.44)分、(4.53±0.44)分、(4.33±0.48)分、(15.38±3.50)分、(12.57±2.89)分、(7.03±2.44)分,以上数据观察组都明显低于参照组,均有统计学差异(P <0.05)。观察组的患者苏醒躁动、坠床、意外拔管率分别为1(2.22%)、0(0.00%)、1(2.22%),均低于参照组31(68.88%)、10(22.22%)、25(55.56%),其满意度45(100.00%)高于参照组28(62.22%),均有统计学差异(P <0.05)。结论:集束化护理干预对ICU患者苏醒期躁动可能会发生的意外事件起到了很好的预防作用。

Objective： To explore the effect of cluster intervention in preventing ICU restlessness patients. Methods： 90 patients who were enrolled in our hospital for ICU treatment since January 2017, January 2016, were divided into observation group （cluster intervention） and reference group （routine nursing）, with 45 cases in each group. Riker was used for sedation and PARS score in 5 minutes, 15 minutes and 30 minutes after pulling out the trachea. Results： The Riker sedative and PARS scores of 5min, 15min and 30min in the observation group were （3.60±0.35）, （3.61±0.39）,（3.16±0.40）,（12.27±1.38）,（8.95±1.46）and（4.27±0.96）,respectively. The observation group was significantly lower than the reference group. There were statistical differences （ P 〈 0.05）. The rate of restlessness, falling bed and accidental extubation were 1 （2.22%）, 0 （0%） and 1 （2.22%） in the observation group, respectively, which were lower than those in the reference group （68.88%）, 10 （22.22%）, 25 （55.56%）, and their satisfaction 45（100.00%） was higher than that of the reference group 28（62.22%） （ P 〈 0.05）. Conclusion： Cluster nursing intervention has a good preventive effect on the possible accidents of ICU patients during their recovery period.