摘要
目的:分析标准化早期活动方案减少SICU机械通气危重症患者术后谵妄的意义。方法:择取2017年4月-2019年2月在笔者所在医院就诊的SICU机械通气危重症患者156例,经随机原则分成对照组(78例)及观察组(78例),对照组采取常规护理方案,观察组采用常规护理方案联合标准化早期活动方案,分析组间护理效果差异。结果:干预后,观察组APACHEⅡ评分低于对照组,各项时间指标均短于对照组,血气分析指标优于对照组,镇静剂使用率、谵妄发生率均低于对照组,干预后SaO2≥90%发生率高于对照组,差异均有统计学意义(P<0.05)。结论:在SICU机械通气危重症患者护理方案中加入标准化早期活动方案,能够获得良好的临床效果。
Objective:To analyze the significance of standardized early activity program in reducing postoperative delirium in patients with severe mechanical ventilation of SICU.Method:A total of 156 SICU patients with severe mechanical ventilation from April 2017 to February 2019 in our hospital were selected,and were randomly divided into the control group(78 cases)and the observation group(78 cases).The control group adopted the routine nursing program,and the observation group adopted the routine program combined with the standardized early activity program.The difference of nursing effect between groups was analyzed.Result:After the intervention,the APACHEⅡscore in the observation group was lower than that in the control group,all the time indicators were shorter than those in the control group,the blood gas analysis index was better than that in the control group,the sedative utilization rate and incidence of delirium were lower than those in the control group,the incidence of SaO2≥90%after intervention was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Adding standardized early activity program into the nursing program of SICU patients with critical mechanical ventilation can obtain good clinical effect.
作者
刘莹
LIU Ying(Fujian Provincial Hospital,Fuzhou 350001,China)
出处
《中外医学研究》
2020年第21期85-87,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
标准化早期活动方案
SICU
机械通气
危重症
术后谵妄
Standardized early activity program
SICU
Mechanical ventilation
Critical illness
Postoperative delirium
