目的分析系统护理在脑出血术后重症加强护理病房(Intensive Care Unit,ICU)护理中的效果。方法便利选择2021年1月—2023年6月在徐州医科大学附属医院ICU治疗的82例脑出血术后患者为研究对象,以随机数表法分为对照组和观察组,各41例。对...目的分析系统护理在脑出血术后重症加强护理病房(Intensive Care Unit,ICU)护理中的效果。方法便利选择2021年1月—2023年6月在徐州医科大学附属医院ICU治疗的82例脑出血术后患者为研究对象,以随机数表法分为对照组和观察组,各41例。对照组实施常规护理,观察组实施系统护理。对比两组肢体功能、自理能力、机械通气时间、疼痛评分及并发症发生情况。结果护理后,观察组肢体功能、自理能力评分均较对照组高,差异有统计学意义(P均<0.05)。观察组机械通气时间短于对照组,术后12、24 h疼痛评分低于对照组,差异有统计学意义(P均<0.05)。观察组并发症发生率为4.88%,低于对照组的19.51%,差异有统计学意义(χ^(2)=4.100,P<0.05)。结论予以脑出血术后ICU患者系统护理可促进预后,改善患者肢体功能、提高自理能力,减少并发症,减轻疼痛。展开更多
目的分析精细护理干预在重症监护室(intensive care unit,ICU)农药中毒行血液灌流(hemoperfusion,HP)患者中的应用效果。方法回顾性选取2020年1月—2023年6月徐州医科大学附属医院ICU接受HP治疗的82例农药中毒患者资料,以随机数表法分...目的分析精细护理干预在重症监护室(intensive care unit,ICU)农药中毒行血液灌流(hemoperfusion,HP)患者中的应用效果。方法回顾性选取2020年1月—2023年6月徐州医科大学附属医院ICU接受HP治疗的82例农药中毒患者资料,以随机数表法分为两组,各41例。对照组采用常规护理,观察组采用精细化护理。比较两组心理状态、风险事件发生率、护理满意度。结果护理前两组心理状态评分,差异无统计学意义(P>0.05);护理后,观察组医院焦虑、抑郁量表评分为(6.94±1.15)分、(7.12±1.36)分均低于对照组,差异有统计学意义(t=6.120、7.038,P<0.05)。观察组风险事件发生率为4.88%低于对照组,差异有统计学意义(χ^(2)=4.100,P<0.05)。观察组总满意度为95.12%高于对照组,差异有统计学意义(P<0.05)。结论予以ICU农药中毒行HP患者精细化护理可减轻患者负性心理,降低风险事件发生率,提升患者满意度。展开更多
Mechanical ventilation(MV)is one of the lifesaving techniques applied to critically ill patients at bedside.However,some complications,such as ventilator-induced lung injury and ventilator-associated pneumonia,may oc...Mechanical ventilation(MV)is one of the lifesaving techniques applied to critically ill patients at bedside.However,some complications,such as ventilator-induced lung injury and ventilator-associated pneumonia,may occur in a patient undertaking MV and are often related to the duration of MV.Some written protocols have been proposed to reduce the risk of such complications,but they can be time consuming,leading to fluctuation in protocol implementation and compliance.Moreover,written instructions tend to be general and thus cannot cover all possible scenarios,resulting in variable interpretation of the protocol.To overcome these limiting factors,protocols have been computerized and there is convincing evidence in the literature showing that computerized protocols benefit management of the process and reduce the time a patient spends under MV.QuickWean is a computeraided weaning protocol implemented on the Hamilton S1 ventilator(Hamilton Medical AG,Bonaduz,Switzerland),which guides the patient through the weaning process without requiring any intervention by the treating physician.The fully-automated ventilation mode is INTELLiVENT?-ASV(Hamilton Medical AG),which is set according to the patient’s respiratory mechanics,patientventilator interaction,peripheral oxygen saturation(SpO2)and pulmonary end-tidal carbon dioxide(PetCO2).The INTELLiVENT?-ASV mode sets automatically each minute to provide accurate ventilation,pressure support,fraction of inspired oxygen and positive end-expiratory pressure based on the patient’s needs.QuickWean can be pre-set to match the established weaning policy of an intensive care unit as well as being customized to a patient’s needs.It provides a progressive reduction of respiratory support,and guides the patient through the spontaneous breathing trial(SBT).At the end of the SBT,the ventilator re-starts the previous ventilation support and provides a report of the successful SBT.During all phases,PetCO2,SpO2 and all breathing parameters are monitored.This new automated weaning tool may improve the safety and effectiveness of an SBT,reducing the time spent in the process of weaning and providing a lower workload for the treating physician.展开更多
文摘目的分析系统护理在脑出血术后重症加强护理病房(Intensive Care Unit,ICU)护理中的效果。方法便利选择2021年1月—2023年6月在徐州医科大学附属医院ICU治疗的82例脑出血术后患者为研究对象,以随机数表法分为对照组和观察组,各41例。对照组实施常规护理,观察组实施系统护理。对比两组肢体功能、自理能力、机械通气时间、疼痛评分及并发症发生情况。结果护理后,观察组肢体功能、自理能力评分均较对照组高,差异有统计学意义(P均<0.05)。观察组机械通气时间短于对照组,术后12、24 h疼痛评分低于对照组,差异有统计学意义(P均<0.05)。观察组并发症发生率为4.88%,低于对照组的19.51%,差异有统计学意义(χ^(2)=4.100,P<0.05)。结论予以脑出血术后ICU患者系统护理可促进预后,改善患者肢体功能、提高自理能力,减少并发症,减轻疼痛。
文摘目的分析精细护理干预在重症监护室(intensive care unit,ICU)农药中毒行血液灌流(hemoperfusion,HP)患者中的应用效果。方法回顾性选取2020年1月—2023年6月徐州医科大学附属医院ICU接受HP治疗的82例农药中毒患者资料,以随机数表法分为两组,各41例。对照组采用常规护理,观察组采用精细化护理。比较两组心理状态、风险事件发生率、护理满意度。结果护理前两组心理状态评分,差异无统计学意义(P>0.05);护理后,观察组医院焦虑、抑郁量表评分为(6.94±1.15)分、(7.12±1.36)分均低于对照组,差异有统计学意义(t=6.120、7.038,P<0.05)。观察组风险事件发生率为4.88%低于对照组,差异有统计学意义(χ^(2)=4.100,P<0.05)。观察组总满意度为95.12%高于对照组,差异有统计学意义(P<0.05)。结论予以ICU农药中毒行HP患者精细化护理可减轻患者负性心理,降低风险事件发生率,提升患者满意度。
文摘Mechanical ventilation(MV)is one of the lifesaving techniques applied to critically ill patients at bedside.However,some complications,such as ventilator-induced lung injury and ventilator-associated pneumonia,may occur in a patient undertaking MV and are often related to the duration of MV.Some written protocols have been proposed to reduce the risk of such complications,but they can be time consuming,leading to fluctuation in protocol implementation and compliance.Moreover,written instructions tend to be general and thus cannot cover all possible scenarios,resulting in variable interpretation of the protocol.To overcome these limiting factors,protocols have been computerized and there is convincing evidence in the literature showing that computerized protocols benefit management of the process and reduce the time a patient spends under MV.QuickWean is a computeraided weaning protocol implemented on the Hamilton S1 ventilator(Hamilton Medical AG,Bonaduz,Switzerland),which guides the patient through the weaning process without requiring any intervention by the treating physician.The fully-automated ventilation mode is INTELLiVENT?-ASV(Hamilton Medical AG),which is set according to the patient’s respiratory mechanics,patientventilator interaction,peripheral oxygen saturation(SpO2)and pulmonary end-tidal carbon dioxide(PetCO2).The INTELLiVENT?-ASV mode sets automatically each minute to provide accurate ventilation,pressure support,fraction of inspired oxygen and positive end-expiratory pressure based on the patient’s needs.QuickWean can be pre-set to match the established weaning policy of an intensive care unit as well as being customized to a patient’s needs.It provides a progressive reduction of respiratory support,and guides the patient through the spontaneous breathing trial(SBT).At the end of the SBT,the ventilator re-starts the previous ventilation support and provides a report of the successful SBT.During all phases,PetCO2,SpO2 and all breathing parameters are monitored.This new automated weaning tool may improve the safety and effectiveness of an SBT,reducing the time spent in the process of weaning and providing a lower workload for the treating physician.
