基于eCASH理论综合性护理干预对重症患者镇静水平的影响

Effect of Comprehensive Nursing Intervention on the Sedation Level of Critically Ill Patients Based on eCASH Theory

目的:探讨分析基于eCASH理论综合性护理干预对重症患者镇静水平的影响,以期提高重症患者护理质量。方法:选取2019年1月-2020年1月我院收治的重症患者346例,采用随机数字表法分为干预组和常规组各178例,常规组患者给予重症常规护理措施,干预组患者在常规干预基础上予以基于eCASH理论的综合性护理干预,比较两组患者机械通气时间、拔管时间、ICU入住时间、谵妄发生情况、一次性成功拔管率、疾病转归情况及镇静达标情况,并调查护理满意度。结果:干预组机械通气时间、拔管时间及ICU入住时间明显短于常规组(P<0.05);干预组一次性成功拔管率(85.96%)及疾病转归率(86.52%)显著高于常规组(67.98%、69.10%),谵妄发生率(5.06%)显著低于常规组(10.67%)(P<0.05);干预组镇静达标率(97.75%)明显高于常规组(91.01%)(P<0.05);干预组护理总满意度(88.76%)明显高于常规组(69.10%)(P<0.05)。结论:基于eCASH理论的综合性护理干预措施对重症患者镇静水平高,能有效缩短患者机械通气时间,提高拔管成功率,有助于疾病恢复,值得临床推广应用。

Objective:To investigate the effect of comprehensive nursing intervention based on eCASH theory on sedation level of critically ill patients.Methods:346 critically ill patients in our hospital from January 2019 to January 2020 were enrolled,and divided into two groups by random number table methods,each with 178 cases.Routine group received conventional nursing intervention,while intervention group received routine nursing intervention combined with eCASH theory based comprehensive nursing intervention.Mechanical ventilation time,extubation time,ICU admission time,delirium occurrence,one-time extubation rate,disease outcome and sedation attainment rate were compared between the two groups,and nursing satisfaction was investigated.Results:The mechanical ventilation time,extubation time and ICU stay time in intervention group were significantly shorter than those in routine group(P<0.05).The incidence of delirium was significantly lower than that of routine group(5.06%vs 10.67%),one-time successful extubation rate and disease outcome rate of the intervention group were significantly better than those of the routine group(85.96%vs 67.98%,86.52%vs 69.10%,P<0.05).The sedation attainment rate of intervention group was significantly higher than that of routine group(97.75%vs 91.01%,P<0.05).The overall nursing satisfaction of intervention group was significantly higher than that of routine group(88.76%vs69.10%,P<0.05).Conclusion:The comprehensive nursing intervention based on eCASH theory has high sedation level for critically ill patients,which can effectively shorten the mechanical ventilation time,improve the success rate of extubation,and promote the recovery,and is worthy of clinical application.