中医护理干预在重症监护室(ICU)护理中的应用

Application of Traditional Chinese Medicine Nursing Intervention in Intensive Care Unit

目的研究分析将中医护理干预应用于重症监护室(ICU)患者护理中的临床效果及价值。方法选取80例医院ICU科室于2018年2月-2020年5月收治的患者,应用计算机数字随机排序的方式将患者分为对照组(40例,治疗过程中给予患者常规护理干预)和观察组(40例,治疗过程中给予患者中医护理干预),对比患者护理前后焦虑自评(SAS)、抑郁自评(SDS)、血常规中血红蛋白(HBG)、白蛋白(ALB)、血清总蛋白(TP)水平、治疗有效率及不良反应发生率。结果护理干预前,两组患者SAS、SDS得分及血常规各项指标差异不明显,差异无统计学意义(P>0.05),护理后观察组患者SAS、SDS得分低于对照组,而HBG、ALB、TP水平高于对照组,同时从疗效及不良反应方面来看,观察组患者治疗有效率为97.50%(39/40),高于对照组的72.50%(29/40);观察组患者不良反应发生率为7.50%(3/40),低于对照组的27.50%(11/40),组间对比上述指标差异显著(P<0.05)。结论通过对收治于重症监护室(ICU)的患者在治疗中采取中医护理干预,能够在保证护理安全性的基础上缓解患者心理状况,改善其血气等指标,降低因气血不足而引起的诸多并发症,具有较高的临床护理价值。

Objective To study and analyze the clinical effect and value of traditional Chinese medicine nursing intervention in the nursing of patients with severe ICU. Methods Eighty patients in ICU Department of our hospital from February 2018 to May 2020 were selected and randomly divided into control group(40 cases, routine nursing intervention) and study group(40 cases, traditional Chinese medicine nursing intervention), and we compared the self rating anxiety(SAS) and self rating depression(SDS) before and after nursing, blood routine hemoglobin(HbG), albumin(ALB), serum total protein(TP) levels, the effective rate of treatment and the incidence of adverse reactions. Results Before nursing intervention, there was no significant difference in SAS, SDS scores orblood routine test between the two groups(P>0.05). After nursing, the scores of SAS and SDS in the study group were lower than those in the control group, while the levels of HbG, ALB and TP in the study group were higher than those in the control group. In terms of efficacy and adverse reactions, the effective rate of the study group was 97.50%(39/40), higher than 72.50%(29/40) of the control group. The incidence of adverse reactions in the group was 7.50%(3/40), which was lower than that in the control group, 27.50%(11/40). There was significant difference between the two groups in the above indexes(P<0.05). Conclusion In ICU, patients with severe complications can be relieved through nursing intervention.