摘要
目的 观察镇静镇痛护理干预在ICU机械通气患者中的应用效果。方法 在2024年1月至2025年1月期间,本院ICU收治的机械通气患者中选取534例作为研究对象。采用数字编号法对其进行组间分配,单数序列患者归入参照组,接受常规镇静镇痛护理,偶数序列患者归入研究组,接受个性化镇静镇痛护理。而后对两组患者的Ramsay镇静评分、机械通气时间、ICU住院时间、谵妄发生率及呼吸机相关肺炎(VAP)发生率展开分析比对。结果 研究组患者的各项指标数据均显优参照组,P<0.05。结论 个性化镇静镇痛护理干预能够显著优化ICU机械通气患者的镇静效果,有效缩短机械通气时间和住院周期,同时降低并发症的发生风险,展现出较高的临床应用价值,值得推广。
关键词: ICU机械通气患者;镇静镇痛护理;效果分析
Abstract
Objective To evaluate the effectiveness of sedation and analgesia nursing interventions in mechanically ventilated patients in the ICU. Methods From January 2024 to January 2025,534 mechanically ventilated patients admitted to the ICU of our hospital were selected as research subjects. Using a digital numbering method, these patients were divided into two groups: odd-numbered patients were assigned to the control group and received standard sedation and analgesia care, while even-numbered patients were assigned to the study group and received personalized sedation and analgesia care. The Ramsay Sedation Scale scores, duration of mechanical ventilation, ICU stay, delirium incidence, and ventilator-associated pneumonia (VAP) incidence were analyzed and compared between the two groups. Results The study group showed significantly better outcomes in all indicators compared to the control group, with P<0.05. Conclusion Personalized sedation and analgesia nursing interventions can significantly improve sedation outcomes in mechanically ventilated patients in the ICU, effectively shorten mechanical ventilation time and hospital stay, and reduce the risk of complications, demonstrating high clinical value and warranting promotion.
Key words: ICU mechanical ventilation patients; Sedation and analgesia nursing; Effect analysis
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