FASTHUG集束化管理模式在老年危重症患者护理中的应用效果

Effect of FASTHUG cluster management model in the care of critically ill elderly patients

目的探讨FASTHUG集束化管理模式在老年危重症患者护理中的应用效果。方法本研究选取河南省某医院重症监护病房(ICU)2019年4月—2021年6月收治的85例老年危重症患者为研究对象。采用随机数字表法将患者分为观察组(n=43例)和对照组(n=42例)。对照组患者实施常规ICU护理,观察组患者在对照组基础上进行FASTHUG集束化管理模式护理。比较2组患者干预前及干预2周时急性生理与慢性健康评分量表(APACHE-Ⅱ)及胃肠功能障碍评分量表(GIF)评分。比较2组患者干预2周时并发症发生情况。结果干预前,2组患者APACHE-Ⅱ、GIF评分比较,差异无统计学意义(P>0.05);干预后,2组患者APACHE-Ⅱ、GIF评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患者并发症发生率为4.66%,低于对照组的19.04%,差异有统计学意义(P<0.05)。结论FASTHUG集束化管理模式应用于老年危重症患者护理中的临床效果显著,可有效促进患者病情转归及胃肠道功能恢复,降低并发症发生率,值得临床推广。

Objective To explore the effect of FASTHUG cluster management model in the care of critically ill elderly patients.Methods Eighty-five critically ill elderly patients admitted to the intensive care unit(ICU)of a hospital in Henan from April 2019 to June 2021 were selected for this study.The patients were divided into an observation group(n=43)and a control group(n=42)using the random number table method.Patients in the control group received conventional ICU care,and patients in the observation group were cared for with the FASTHUG cluster management model on the basis of the control group.The Acute Physiology and Chronic Health Evaluation-Ⅱ(APACHE-Ⅱ)and Gastrointestinal Failure(GIF)scores of patients in the 2 groups were compared before and at 2 weeks of intervention.Complications at 2 weeks of intervention were compared between the 2 groups of patients.Results Before the intervention,there was no statistically significant difference between the APACHE-Ⅱand GIF scores of the 2 groups(P>0.05);after the intervention,the APACHE-Ⅱand GIF scores of the 2 groups were lower than before the intervention and lower in the observation group than in the control group,with statistically significant differences(P<0.05).The complication rate of patients in the observation group was 4.66%,which was lower than that of 19.04%in the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical effect of FASTHUG clustering management model applied in the care of critically ill elderly patients is significant.It effectively promotes the patients′recuperation and the recovery of gastrointestinal functions while also reduces the incidence of complications,and is worthy of clinical promotion.