Analysis of the application value of cluster care in reducing the unplanned extubation rate in ICU
集束化护理在降低ICU非计划性拔管率中的应用价值分析

摘要

目的 分析在降低ICU非计划性拔管率中开展集束化护理的临床应用价值。方法 此次研究筛选我院ICU接收的患者30例，将其以随机数字表法分成两组进行护理研究，组别类型包括观察组和对照组，每组中患者人数各有15例，对照组患者给予常规护理，观察组患者采取集束化护理干预，将两种不同护理方案最终取得的临床效果进行对比分析。结果 护理后经过两组结果对比显示，观察组护理管理质量以及患者依从性与对照组相比均明显提高，（P<0.05）；治疗期间观察组患者焦虑情绪改善效果优于对照组，（P<0.05）；观察组患者非计划拔管率和并发症发生率均低于对照组，（P<0.05）。结论 在ICU患者中开展集束化护理干预，可有效提升临床护理服务质量，增强患者身心舒适度及配合度，从而减少非计划性拔管以及并发症发生，提高患者疾病控制效果，改善患者生活质量。

Abstract

Objective To analyze the clinical application value of cluster care in reducing the rate of unplanned extubation in ICU.
Methods The study screened 30 patients in our ICU, and divided into two groups for nursing research, group types including observation group and control group. Each group had 15 cases. Patients in the control group were given routine nursing while patients in the observation group were given cluster nursing intervention, and the clinical effects of the two different nursing schemes were compared and analyzed.
Results After nursing, the results of the two groups showed that the quality of nursing management and patient compliance were significantly improved compared with the control group, (P <0.05); During the treatment, the improvement of anxiety in the observation group was better than that in the control group, (P <0.05); The unplanned extubation rate and complication rate in the observation group were lower than the control group, (P <0.05).
Conclusion   Cluster nursing intervention in ICU patients can effectively improve the quality of clinical nursing service, enhance the physical and mental comfort and coordination of patients, so as to reduce unplanned extubation and complications, improve the disease control effect of patients, and improve the quality of life of patients.