早期多学科协作护理在ICU重症机械通气患者中的应用效果

Application Effect of Early Multidisciplinary Collaborative Nursing in ICU Patients with Severe Mechanical Ventilation

目的:探讨早期多学科协作护理在ICU重症机械通气患者中的应用效果。方法:选择2018年1月-2020年12月于徐州医科大学附属医院急诊ICU行机械通气治疗的重症患者86例,按照随机数字表法将其分为两组,各43例。对照组采用常规护理,观察组实施早期多学科协作护理。比较两组ICU获得性衰弱、谵妄发生率。比较两组机械通气时间和ICU住院时间、日常生活能力。结果:观察组ICU获得性衰弱、谵妄发生率为4.65%、4.65%,均低于对照组的18.60%、20.93%,差异有统计学意义(P<0.05)。观察组机械通气时间为(9.76±2.15)d,ICU住院时间为(12.95±3.19)d,均短于对照组的(14.59±2.31)d、(19.87±3.26)d,差异有统计学意义(P<0.05)。观察组干预后ADL评分(48.96±4.32)分,高于对照组的(37.29±4.21)分,差异有统计学意义(P<0.05)。结论:早期多学科协作护理能够减少ICU重症机械通气患者ICU获得性衰弱和谵妄的发生,缩短ICU住院时间,提高患者日常生活能力。

Objective:To investigate the application effect of early multidisciplinary collaborative nursing in ICU patients with severe mechanical ventilation.Method:A total of 86 severe patients who underwent mechanical ventilation in the emergency ICU of the Affiliated Hospital of Xuzhou Medical University from January 2018 to December 2020 were selected and divided into two groups according to the random number table method,with 43 cases in each group.The control group adopted routine nursing,and the observation group implemented early multidisciplinary cooperative nursing.The incidence of ICU-acquired weakness and delirium were compared between the two groups,and the mechanical ventilation and ICU hospitalization time and daily living ability were compared between the two groups.Result:The incidence of ICU-acquired weakness and delirium in the observation group were 4.65%and 4.65%,which were lower than 18.60%and 20.93%in the control group,the differences were statistically significant(P<0.05).The mechanical ventilation time in the observation group was(9.76±2.15)d and the ICU hospitalization time was(12.95±3.19)d,both were shorter than(14.59±2.31)d and(19.87±3.26)d in the control group,the differences were statistically significant(P<0.05).After intervention,the ADL score of the observation group was(48.96±4.32)points,which was higher than(37.29±4.21)points of the control group,and the difference was statistically significant(P<0.05).Conclusion:Early multidisciplinary collaborative nursing can reduce the occurrence of ICU-acquired weakness and delirium in ICU patients with severe mechanical ventilation,shorten the ICU hospitalization time,and improve the patients’daily living ability.