The role of targeted nursing in early rehabilitation training of critically ill patients in ICU
针对性护理在ICU危重症患者早日康复训练中的作用

摘要

目的 分析探讨针对性护理在ICU危重症患者早日康复训练中的应用作用。方法 选取我院2021年5月-2022年3月ICU危重症患者30例为观察对象，随机将其分为观察组与对照组，其中对照组患采用常规护理，观察组患者采用针对性护理，将两组患者护理前后的偏身感觉障碍FMA评分、MBI评分、SF-36评分、护理中ICU综合征发生情况以及患者家属满意度进行比较。结果 将两组患者治疗前后的偏身感觉障碍FMA评分、MBI评分及SF-36评分进行比较，两组患者治疗后的偏身感觉障碍FMA评分、MBI评分及SF-36评分较治疗前均有改善，观察组患者的偏身感觉障碍FMA评分、MBI评分及SF-36评分高于对照组，数据对比差异有统计学意义（P<0.05）；观察组患者护理过程中的情感障碍、思维障碍、行动障碍等综合征发生率均低于对照组，数据对比差异有统计学意义（P<0.05）；观察组患者家属的护理满意度高于对照组，数据对比差异有统计学意义（P<0.05）。结论 针对性护理在ICU危重症患者的早日康复训练中具有重要意义，能够有效改善患者的生活能力、肢体功能、神经功能缺损度等方面，拉进护患关系，值得推广与应用于临床护理中。

Abstract

Objective To analyze the application effect of targeted nursing in early rehabilitation training of critically ill patients in ICU.
Methods A total of 30 critically ill patients in the ICU of our hospital from May 2021 to March 2022 were selected as the observation objects and randomly divided into the observation group and the control group. The patients in the control group received routine nursing, and the patients in the observation group received targeted nursing. The FMA score, MBI score, SF-36 score, the occurrence of ICU syndrome during nursing and the satisfaction of patients' family members were compared between the two groups of patients before and after nursing.
Results The FMA, MBI and SF-36 scores of the two groups of patients before and after treatment were compared. The FMA, MBI and SF-36 scores of the two groups of patients after treatment were significantly higher than those before treatment Improvement, the FMA score, MBI score and SF-36 score of the patients in the observation group were higher than those in the control group, and the difference was statistically significant (P<0.05). The incidences of syndromes such as , movement disorder and other syndromes were lower than those in the control group, and the difference was statistically significant (P<0.05). 0.05).
Conclusion   Targeted nursing is of great significance in the early rehabilitation training of critically ill patients in ICU, which can effectively improve patients' living ability, limb function, neurological deficit, etc., and promote the relationship between nurses and patients. It is worthy of promotion and application in clinical nursing.