延续护理在ICU转出患者中的应用效果

Application effect of continuous nursing in patients transferred from ICU

目的探讨延续护理在ICU转出患者中的应用效果。方法选择我院2016年6月～2018年6月经ICU治疗后转出的120例患者,按照转出时间的不同分为对照组(2016年6月～2017年5月)和观察组(2017年6月～2018年6月),每组各60例。对照组采用ICU转出常规护理模式,观察组采用ICU转出延续护理模式,比较两组重返ICU率、重返ICU原因、各项生理指标结果及遵医行为。结果观察组重返ICU率为3.33%,远低于对照组的20.00%,(P<0.05),在各类重返ICU原因中,呼吸系统疾病为首要原因,其次为心力衰竭与颅内再出血或梗阻,最后为心搏骤停和手术并发症;观察组的平均动脉压(MAP)、心率(HR)、呼吸频率(RR)、二氧化碳分压(PaCO2)、尿素氮(BUN)值均显著低于对照组,而血氧分压(PaO2)高于对照组,差异有统计学意义(P<0.05);观察组的遵医率为95.00%,高于对照组的78.33%,差异有统计学意义(P<0.05)。结论延续护理干预模式可明显降低患者重返ICU率,同时改善各项生理指标及遵医行为,值得临床推广应用。

Objective To explore the effect of continuous nursing in patients transferred from ICU. Methods From June 2016 to June 2018, 120 patients transferred from ICU of our hospital were selected. The patients were divided into control group (from June 2016 to May 2017) and observation group (from June 2017 to June 2018), 60 cases in each group. The control group adopted normal nursing mode, the observation group adopted continuous nursing mode. The ICU reentry rate, the cause of returning, the physiological indexes and medical compliance behavior in the two groups were compared. Results The ICU reentry rate in the observation group was 3.33%, it was significantly lower than that in the control group (20.00%)(χ2=8.086, P=0.004). Among the reasons for the returning, the respiratory disease was the primary cause, followed by heart failure and intracranial rebleeding or obstruction, and finally the cardiac arrest and surgical complications, the mean arterial pressure (MAP), heart rate(HR), breathing rate (RR), partial pressure of carbon dioxide (PaCO2) and usea nitrogen (BUN) in observation group were significantly lower than those in control group, while partial pressure of blood oxygen (PaO2) was higher than that in the control group (P<0.05);the medical compliance rate of observation group was 95%, which was significantly higher than 78.33% of the control group (χ2=7.212, P=0.007). Conclusion Continuous nursing care can obviously reduce the ICU reentry rate, it also can improve the physiological indexes and medical compliance behavior, which is worthy of clinical application.