强化护理干预策略在降低ICU气管插管患者非计划性拔管中的效果

Effect of Intensive Nursing Intervention Strategy on Reducing Unplanned Extubation in ICU Patients with Tracheal Intubation

目的探讨强化护理干预策略在降低ICU气管插管患者非计划性拔管中的效果。方法将我院80例ICU气管插管患者,采用双盲随机法分为两组。对照组给予常规护理,试验组实施强化护理干预策略。结果护理前两组SCL-90负面心理症状量表评分比较,P>0.05,护理后两组SCL-90负面心理症状量表评分均显著降低,和护理之前的SCL-90负面心理症状量表评分比较有较大差异,而其中试验组SCL-90负面心理症状量表评分显著低于对照组,P<0.05。试验组的护理满意程度比对照组高(t=7.342,P=0.000)。试验组的护理满意程度是(94.11±3.68)分,而对照组的护理满意程度是(80.67±2.21)分。试验组意外拔管发生的时间、住院时间均短于对照组,P<0.05。试验组非计划性拔管率低于对照组(χ^(2)=6.188,P=0.013)。试验组非计划性拔管有1例,占2.50%,而对照组非计划性拔管8例,占20.00%。结论ICU气管插管患者实施强化护理干预策略效果确切,可减少非计划性拔管的发生,减轻患者的负面情绪和提高患者满意度,促使住院的时间缩短,可见,强化护理干预的应用有利于改善ICU气管插管患者的预后。

Objective To explore the effect of intensive nursing intervention strategy in reducing unplanned tracheal extubation in ICU patients.Methods Eighty patients with tracheal intubation in ICU were divide patients into two groups using double-blind randomization.The control group was given routine nursing,and the experimental group was given intensive nursing intervention.Results Before the nursing,the scores of SCL-90 negative psychological symptom scale of the two groups were compared,P>0.05.After the nursing,the scores of SCL-90 negative psychological symptom scale of the two groups were significantly decreased,the scores of SCL-90 were significantly lower in the experimental group than those in the control group(P<0.05).The nursing satisfaction degree of the experimental group was higher than that of the control group(t=7.342,P=0.000).The nursing satisfaction degree of the experimental group was(94.11±3.68),while that of the control group was(80.67±2.21).The time of accidental extubation and the length of hospital stay in the experimental group were shorter than those in the control group,P<0.05.The unscheduled extubation rate of the experimental group was lower than that of the control group(χ^(2)=6.188,P=0.013).Unplanned extubation occurred in 1 case(2.50%)and 8 cases(20.00%)in the control group.Conclusion Intensive nursing intervention strategy is effective in ICU patients with tracheal intubation,which can reduce the occurrence of unplanned extubation,relieve patients'negative emotion and improve patients'satisfaction,and shorten the length of hospitalization,intensive nursing intervention can improve the prognosis of patients with tracheal intubation in ICU.