Effect of programmed analgesia and sedation nursing in reducing the rate of unplanned extubation of tracheal intubation in ICU
程序化镇痛镇静护理在降低ICU气管插管非计划性拔管率中的效果

摘要

目的 本文探究程序化镇痛镇静护理于ICU气管插管非计划性拔管率降低的效果。方法 选取2021年3月-2022年12月间本院行ICU气管插管治疗患者作为研究样本，共计146例；将其随机均分分别纳入观察组和对照组，各73例，其中观察组行程序化镇静镇痛护理干预，对照组行常规镇痛护理干预，比对两组患者非计划性拔管率、不良反应及住院时间。结果 观察组患者非计划性拔管率低于对照组患者，（P<0.05）差异具备统计意义；观察组患者谵妄、过度镇静不良反应发生率低于对照组患者，（P<0.05）差异具有统计意义；且观察组平均住院时间短于对照组患者，差异存在统计意义（P<0.05）。结论 于ICU气管插管患者实施程序化镇痛镇静护理措施干预，可降低患者非计划性拔管发生风险，减轻患者不良反应情况，同时能够促进恢复，帮助患者缩短住院时间，值得推广实施。

Abstract

Objective To explore the effect of programmed analgesic and sedation nursing on the reduction of unplanned extubation rate of tracheal intubation in ICU.
Methods A total of 146 patients who received tracheal intubation treatment in ICU from March 2021 to December 2022 were selected as study samples. They were randomly divided into the observation group and the control group, with 73 cases in each group. The observation group received programmed sedation and analgesic nursing intervention, and the control group received routine analgesic nursing intervention. The rate of unplanned extubation, adverse reactions and length of hospital stay were compared between the two groups.
Results The rate of unplanned extubation in observation group was lower than that in control group (P<0.05) with statistically significant difference. The incidence of delirium and excessive sedation in observation group was lower than that in control group (P<0.05), and the difference was statistically significant. The average hospitalization time of observation group was shorter than that of control group, the difference was statistically significant (P<0.05).
Conclusion   The implementation of programmed analgesic sedation nursing intervention in ICU patients with tracheal intubation can reduce the risk of unplanned extubation, reduce the adverse reactions of patients, and promote recovery and help patients shorten the length of hospital stay, which is worth popularizing and implementing.