针对性护理干预对ICU机械通气患者的应用效果观察

Observation on the Application Effect of Targeted Nursing Intervention on Patients with Mechanical Ventilation in ICU

目的:探究针对性护理干预对重症监护室(ICU)机械通气患者的应用效果。方法:选取2019年8月-2020年12月广州市南沙区第六人民医院ICU收治的70例接受机械通气治疗的患者作为研究对象,按照随机抽样法分为对照组和研究组,各35例。对照组给予常规护理干预,研究组在对照组基础上给予针对性护理干预。比较两组患者意外拔管发生率、自行拔管发生率、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及匹兹堡睡眠质量指数量表(PSQI)评分。结果:研究组意外拔管发生率、自行拔管发生率均低于对照组,差异有统计学意义(P<0.05)。护理前,两组SAS、SDS评分比较,差异无统计学意义(P>0.05);护理后,研究组SAS、SDS评分均显著低于对照组,差异有统计学意义(P<0.05)。护理前,两组PSQI评分比较,差异无统计学意义(P>0.05);护理后,研究组PSQI评分低于对照组,差异有统计学意义(P<0.05)。结论:针对性护理干预应用于ICU机械通气患者的应用效果,可降低意外事件发生风险,改善患者情绪状态及睡眠质量,建议应用并予以推广。

Objective: To explore the effect of targeted nursing intervention on patients with mechanical ventilation in intensive care unit(ICU). Methods: From August 2019 to December 2020, 70 patients who received mechanical ventilation in the ICU of the Sixth People’s Hospital of Nansha District, Guangzhou were selected as the research subjects. According to random sampling method, they were divided into control group and study group, with 35 cases in each group. The control group was given routine nursing intervention, and the study group was given targeted nursing intervention on the basis of the control group. The incidence of accidental extubation, the incidence of self-extubation, the self-rating anxiety scale(SAS) score, the self-rating depression scale(SDS) score and the Pittsburgh Sleep Quality Index(PSQI) score were compared between the two groups. Results: The incidence of accidental extubation and self-extubation in the study group were lower than those in the control group, and the difference was statistically significant(P<0.05). Before nursing, there was no significant difference in SAS and SDS scores between the two groups(P>0.05);after nursing, the SAS and SDS scores in the study group were significantly lower than those in the control group, with a statistically significant difference(P<0.05). Before nursing, there was no significant difference in PSQI score between the two groups(P>0.05);after nursing, the PSQI score of the study group was lower than that of the control group, and the difference was statistically significant(P<0.05). Conclusion: The application effect of targeted nursing intervention in patients with mechanical ventilation in ICU can reduce the risk of accidental events and improve the emotional state and sleep quality of patients. It is recommended to apply and promote.