每日镇静唤醒和早期功能锻炼护理策略对ICU有创机械通气病人的应用效果分析
Effect of daily sedation awakening combined with early functional exercise on patients with invasive mechanical ventilation in ICU
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摘要: 目的：探讨每日镇静唤醒和早期功能锻炼护理策略对ICU有创机械通气病人的应用效果。方法：选取2013-2014年ICU有创机械通气病人47例作为对照组，开展常规护理干预，选取2015-2016年ICU有创机械通气病人47例作为观察组，开展每日镇静唤醒联合早期功能锻炼护理策略，比较2组机械通气时间、ICU入住时间及总住院时间，并统计2组发生情况、管路脱落事件发生情况及病死情况。结果：观察组机械通气时间、ICU入住时间和总住院时间均短于对照组（P<0.05～P<0.01）；观察组呼吸机相关性肺炎发生率、管路脱落事件、病死率与对照组差异均无统计学意义（P>0.05）。结论：对ICU有创机械通气病人开展每日镇静唤醒联合早期功能锻炼护理策略能缩短机械通气时间及ICU入住时间，促进病人康复。Abstract: Objective:To investigate the effects of daily sedation awakening combined with early functional exercise on patients with invasive mechanical ventilation in Intensive Care Unit.Methods:Forty-seven patients with invasive mechanical ventilation from 2013 to 2014 and 47 cases with invasive mechanical ventilation from 2015 to 2016 were divided into the control group and observation group,respectively.The control group and observation group were treated with routine nursing intervention and daily sedation awakening combined with early functional exercise,respectively.The mechanical ventilation time,ICU stay time,total hospitalization time,ventilator-associated pneumonia incidence,pipeline off event and mortality between two groups were compared.Results:The mechanical ventilation time,ICU stay time and total hospitalization time in observation group were shorter than those in control group(P<0.05 to P<0.01).The differences of the ventilator-associated pneumonia incidence,pipeline off event and mortality between two groups were not statistically significant(P>0.05).Conclusions:The daily sedation awakening combined with early functional exercise in treating the patients with invasive mechanical ventilation can short the mechanical ventilation time and ICU stay time,and promote the rehabilitation of patients in ICU.
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[1] 张赤,张声,昌晓寒,等. 每日唤醒对ICU 慢性阻塞性肺疾病机 [2] 械通气患者的影响[J]. 实用医学杂志,2013,29(16):2613. [3] TEHRANI F. A control system for mechanical ventilation of passiveand active subjects[J]. Comput Methods Programs Biomed,2013,110(3):511. [4] 李梅,侯宜静,李静,等. 每日唤醒在ICU 机械通气镇静患者中的应用[J]. 护理实践与研究,2012,9(19):38. [5] 陈泓伯,刘俊,陈利钦,等. 每日唤醒在ICU 机械通气镇静患者中应用效果的meta 分析[J]. 中华护理杂志,2014,49(9):1029. [6] RODRIGUES GG,FREITAS US,BOUNOIARE D,et al.Leakage estimation using kalman filtering in noninvasive mechanical ventilation[J].IEEE Trans Biomed Eng,2013,60(5):1234. [7] 曹莉,钮晋红,韦妍飞,等.机械通气每日唤醒镇静策略研究进展[J].实用医学杂志,2012,28(19):3159. [8] VOLYANSKYY KY,HADDAD WM,BAILEY JM.Pressure-and work-limited neuroadaptive control for mechanical ventilation of critical care patients[J].IEEE Trans Neural Netw,2011,22(4):614. [9] 黎张双子,江智霞,张霞,等.每日唤醒策略在 ICU 机械通气病人中的应用[J].护理研究,2016,30(9):1037. [10] 郑盼盼,章敏,田小玲,等.每日唤醒在机械通气镇静患者中的临床应用[J].解放军护理杂志,2014,31(20):13. [11] 李佩丽,邵换璋,李海云,等.由护士主导每日唤醒在重症机械通气患者中的应用[J].护理学报,2014,11(16):50. [12] 汤瑞婷,王欢,古尔汗,等.每日唤醒镇静治疗用于ICU机械通气中的疗效评价[J/CD].临床医药文献电子杂志,2016,3(1):57. [13] 李丽霞.镇静唤醒联合早期功能锻炼在ICU机械通气患者中的应用[J].护理实践与研究,2013,10(15):21. [14] 乔世娜,周丽萍,黄丽敏,等.每日唤醒和早期功能锻炼方案在重症监护室机械通气病人中的实践[J].全科护理,2015,9(28):2811. [15] 陆晓燕,王玉宇.镇静唤醒联合早期功能锻炼的护理策略在ICU机械通气患者的应用[J].齐齐哈尔医学院学报,2012,33(18):2566. [16] 许久玲,张晓路.每日唤醒干预模式对机械通气镇静治疗病人临床效果及不良事件的影响[J].护理研究,2016,30(23):2842. -
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