全人护理视角下多感官刺激干预方案在AECOPD机械通气患者中的应用

Holistic nursing perspective on a multisensory stimulation intervention program in mechanically ventilated patients with AECOPD

目的探讨全人护理视角下多感官刺激干预方案在慢性阻塞性肺疾病急性加重期(AECOPD)机械通气患者中的应用效果。方法选取2022年3月1日至2023年9月30日广西南宁市某三甲医院急诊重症监护病房收治的60例AECOPD机械通气患者为研究对象,按随机分配原则将患者分为试验组和对照组,每组30例。试验组接受基于全人护理理论构建的多感官刺激干预,对照组接受常规护理,比较两组患者的谵妄发生率、日常生活活动评分(ADL)、动脉血气氧合指数、机械通气时间和ICU住院时间。结果试验组患者的谵妄发生率低于对照组,ADL评分高于对照组,差异均有统计学意义(均P<0.05)。两组患者在动脉血气氧合指数、机械通气时间和ICU住院时间上比较,差异无统计学意义(P>0.05)。结论全人护理视角下多感觉刺激干预方案有助于减少AECOPD机械通气患者的谵妄发生,提高患者日常生活活动能力。

Objective To explore the application effect of multisensory stimulation intervention program under the perspective of whole-person care in mechanically ventilated patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods 60 cases of AECOPD mechanical ventilation patients admitted to the emergency ICU of a tertiary hospital in Nanning from March 1,2022 to September 30,2023 were selected.According to the principle of random allocation,they were divided into the experimental group and the control group,with 30 cases in each group.The experimental group received multisensory stimulation interventions constructed on the basis of whole-person nursing theory,while the control group received conventional nursing care.The differences in the incidence of delirium,the score of Activities of Daily Living(ADL),the arterial blood gas oxygenation index,the duration of mechanical ventilation and the duration of ICU stay were compared between the two groups.Results The incidence of delirium in the experimental group was lower than that in the control group,and the ADL score was higher than that in the control group,and the difference was statistically significant(all P<0.05);whereas there was no significant difference between the two groups in arterial blood gas oxygenation index,mechanical ventilation time,and ICU hospitalization time(P>0.05).Conclusion The multisensory stimulation intervention program under the perspective of whole-person care helps to reduce the occurrence of delirium and improve the ability of activities of daily living in mechanically ventilated patients with AECOPD.