摘要
目的:分析eCASH理念、早期活动对重症加强护理病房(ICU)机械通气患者的影响。方法:选取2018年12月-2019年12月本院ICU收治的60例机械通气患者,随机分为研究组、常规组,各30例。常规组实施常规护理,研究组实施eCASH理念结合早期活动护理干预,对比两组护理效果。结果:研究组ICU治疗时间(8.5±1.9)d、机械通气时间(7.2±2.6)d、镇痛镇静药物使用次数(8.8±2.1)次,均优于常规组的(12.1±2.4)d、(10.8±2.0)d、(12.0±3.2)次,差异有统计学意义(t=6.441 6,6.011 1,4.579 2,P<0.05);研究组肌力4、5级比例66.67%、巴氏生活自理能力评分(88.2±4.8)分,均高于常规组的40.00%、(75.7±4.3)分,差异有统计学意义(χ^2=4.285 7,t=10.624 0,P<0.05)。研究组ICU获得性衰弱及谵妄发生率、死亡率均低于常规组(P<0.05)。结论:ICU机械通气患者采用eCASH理念结合早期活动能够优化镇痛镇静效果,尽快恢复正常肌力,降低并发症发生率,缩短ICU治疗时间。
Objective:To analyze the influence of eCASH concept and early activity on intensive care unit (ICU) patients with mechanical ventilation.Method:A total of 60 cases of patients with mechanical ventilation were admitted at ICU in our hospital from Dec.2018 to Dec.2019.They were randomly divided into the study group and the routine group,each of 30 cases.Conventional nursing was carried out in the routine group,and eCASH concept with early active nursing intervention was carried out in the study group,the nursing effect of the two groups were compared.Result:The treatment time of ICU was (8.5±1.9) d,mechanical ventilation time was (7.2±2.6) d,analgesic and sedative drug use times were (8.8±2.1) times in the study group,were better than (12.1±2.4) d,(10.8±2.0) d,(12.0±3.2) times in the routine group,the differences were statistically significant (t=6.441 6,6.011 1,4.579 2,P<0.05).The ratio of grade 4 and 5 of muscle strength in the study group was 66.67%,Barthel life self-care score in the study group was (88.2±4.8) points,which were higher than 40.00%,(75.7±4.3) points in the routine group,the differences were statistically significant (χ~2=4.285 7,t=10.624 0,P<0.05).The incidence of ICU acquired weakness and delirium and mortality in the study group were lower than those in the routine group (P<0.05).Conclusion:The eCASH concept combined with early activity can optimize the analgesic and sedative effects in patients with mechanical ventilation in ICU,restore normal muscle strength,reduce the incidence of complications,and shorten the ICU treatment time.
作者
黄进利
许文萍
HUANG Jinli;XU Wenping(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)
出处
《中外医学研究》
2020年第33期186-188,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
