全程个性化信息支持护理在患者ICU后综合征预防中的应用

The Application of Whole-process Personalized Information Support Nursing in the Prevention of Post-intensive Care Syndrome

目的探索全程个性化信息支持护理对ICU转出患者的ICU后综合征的预防作用,为临床实践提供依据。方法选取四川省某三甲医院呼吸与内科危重症收治的危重症患者为研究对象,采取随机数字表法将患者随机分为对照组与试验组,各48例。对照组采用呼吸与内科危重症常规护理措施,试验组在对照组的基础上增加全程个性化信息支持护理。结果2组患者的认知功能、焦虑、抑郁对比差异有统计学意义(P<0.05),自理能力及ICU后综合征发生率的对比,差异无统计学意义(P>0.05)。在6个月生存质量方面,2组患者一般健康状况、情感职能、社会功能及精力方面对比,差异有统计学意义(P<0.05)。结论全程个性化信息支持护理能有效降低患者的焦虑抑郁水平,避免向更严重的认知功能障碍发展,减少认知损伤,一定程度地降低PICS的发生率,并能对患者的长期生存质量产生积极影响。

Objective To verify the preventive effect of full-process personalized information support nursing on post-ICU syndrome of ICU patients transferred out of ICU,so as to provide a basis for clinical practice.Methods The critically ill patients admitted to department of RICU and MICU of a third-class hospital in Sichuan Province were selected as the objects of study.The patients were randomly divided into control group of 48 cases and experimental group of 48 cases.The control group was given routine nursing measures of respiratory and internal medicine critical care,while the experimental group added personalized information to support nursing care on the basis of the control group.Results There were significant differences in cognitive function,anxiety and depression between the two groups(P<0.05),while there were no significant differences in self-care ability and the incidence of PICS between the two groups(P>0.05).In terms of 6-month quality of life,there were significant differences in general health status,emotional function,social function and energy between the two groups(P<0.05).Conclusion Personalized information support nursing can effectively reduce the level of anxiety and depression of patients,avoid the development of more serious cognitive impairment,reduce cognitive impairment,reduce the incidence of PICS to a certain extent,and have a positive impact on the long-term quality of life of patients.