护士为主导基于eCASH理念的舒适化浅镇静方案应用于机械通气患者的效果分析

Effect of Nurse-led Comfortable Light Sedation Therapy Based on eCASH Concept Applied to Mechanical Ventilation Patients

目的:研究护士为主导的以舒适化浅镇静策略(eCASH)理念为指导的舒适化浅镇静疗法应用于机械通气患者的效果。方法:选取2020年1月-2021年6月福建医科大学附属第一医院收治的60例行气管插管且需行镇静镇痛的患者,按照随机数字表法随机分为对照组(30例)和研究组(30例)。其中对照组行常规镇静镇痛治疗,研究组在对照组的基础上行以护士为主导的以eCASH理念为指导的舒适化浅镇静疗法。比较两组患者的恢复情况、不良事件发生率。结果:研究组的机械通气时长、ICU住院天数均短于对照组,肌力评分高于对照组,差异均有统计学意义(P<0.05)。研究组谵妄和获得性肌无力(ICU-AW)发生率分别为6.67%、10.00%,均低于对照组的30.00%和36.67%,差异均有统计学意义(P<0.05)。结论:护士为主导的以eCASH理念为指导的舒适化浅镇静疗法应用于机械通气患者,可促进恢复,降低不良事件发生率。

Objective:To study the effect of nurse-led comfortable light sedation therapy guided by the eCASH concept in mechanical ventilation patients.Method:A total of 60 patients with endotracheal intubation who needed sedation and analgesia admitted to the First Affiliated Hospital of Fujian Medical University from January 2020 to June 2021 were selected,they were randomly divided into control group(30 cases)and study group(30 cases)according to random number table method.The control group received conventional sedation and analgesia therapy,and study control group received nurse-led comfortable light sedation therapy therapy guided by the concept of eCASH.The recovery and adverse events were compared between two groups.Result:The length of mechanical ventilation and length of ICU stay in the study group were shorter than those in the control group,and muscle strength score in the study group was higher than that in the control group,the differences were statistically significant(P<0.05).The incidence of delirium and ICU-AW in the study group was 6.67%and 10.00%,respectively,which were lower than 30.00%and 36.67%in the control group,the differences were statistically significant(P<0.05).Conclusion:Nurse-led comfortable light sedation therapy guided by the concept of eCASH is applied to mechanical ventilation patients,which can promote recovery and reduce the incidence of adverse events.