术后程序化镇痛镇静护理干预在脑出血患者中的应用

Application of Postoperative Programmed Analgesia and Sedation Nursing Intervention in Patients with Cerebral Hemorrhage

目的:探讨术后程序化镇痛镇静护理干预在脑出血患者中的应用方法及效果。方法:将2018年5月1日~2019年5月31日收治的55例脑出血患者作为对照组,实施术后常规护理干预。将2019年6月1日~2020年5月31日收治的47例脑出血患者作为观察组,在对照组基础上实施术后程序化镇痛镇静护理干预。比较两组干预效果。结果:两组疼痛行为量表(BPS)评分、镇静程度量表(RASS)评分、颅内压水平、住重症监护病房时间比较、深度睡眠3期持续时间、深度睡眠4期持续时间、NREM微醒觉次数比较差异均有统计学意义(P<0.05);观察组不良事件发生率低于对照组(P<0.05)。结论:术后程序化镇痛镇静护理干预应用于脑出血患者可获得更好的镇痛镇静效果,降低颅内压水平,缩短住重症监护病房的时间,改善睡眠质量,降低不良反应发生率。

Objective:To explore the application method and effect of the programmed analgesia and sedation nursing intervention in the postoperative patients with cerebral hemorrhage.Methods:A total of 55 patients with cerebral hemorrhage during May 1,2018 to May 31,2020 were as the the control group,the routine nursing intervention was given.47 patients during June 1,2019 to May 3,2020 were as the observation group,the programmed analgesia and sedation nursing intervention was given.Comparison was made on the intervention effect between the two groups.Results:In comparison on the BPS scores,RASS scores,intracranial pressure levels,and hospital stay in the intensive care unit,the duration of deep sleep(stage 3 and stage 4)in the observation group was longer than that in the control group after nursing,and the number of NREM micro-awakenings,with significant differences(P<0.05).And the incidence of adverse events in the observation group was lower than that in the control group(P<0.05).Conclusion:The application of postoperative programmed analgesia and sedation nursing intervention in patients with cerebral hemorrhage can obtain better analgesia and sedation effect,reduce intracranial pressure level,shorten the length of stay in intensive care unit,improve sleep quality,and reduce the incidence of adverse reactions.