早期程序化活动在ICU患者中的应用  

Application of early programming activities in ICU patients

作　　者：魏晓梅[1] 林芳[1] 左选琴[2] 

机构地区：[1]中日友好医院CCU,北京100029 [2]中日友好医院国际医疗部,北京100029

出　　处：《中华现代护理杂志》2014年第14期1705-1707,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨早期程序化活动在ICU患者中的护理效果。方法选择2012年3—6月入住ICU的患者50例，根据随机数字表法分为活动组及对照组，每组25例。对照组患者给予常规护理，活动组患者实施早期程序化活动管理，比较两组患者的呼吸机通气时间、监护室住院时间、总住院时间等指标。结果活动组患者的呼吸机通气时间为（2．4±0．3）d，低于对照组的（3．2±0．5）d，差异有统计学意义（t=5．182，P〈0．05）；活动组患者的监护室住院时间、总住院时间分别为[（5．2±0．3），（9．6±1．4）]d，对照组为[（5．8±0．3），（8．8±1．2）d]，差异无统计学意义（t值分别为1．013，2．674；P〉0．05）；活动组患者监护室死亡率为8．0％，住院期间死亡率为8．0％，对照组为12．0％，16．0％，差异无统计学意义（x2值分别为3．873，4．347；P〉0．05）。结论早期程序化活动对减少呼吸机通气时间，减少远期并发症，提高患者的生活质量至关重要。Objective To explore the effect of early programming activities on clinical nursing in ICU patients. Methods Fifty patients in ICU from March 2012 to June 2012 were chosen and divided into the experimental group and the control group according to the random number table, each with 25 cases. The control group received the routine nursing, and the experimental group received the management of early programming activities. The time of mechanical ventilation, hospital stays in ICU, the total of hospital stays and so on were compared between two groups. Results The time of mechanical ventilation was （ 2.4 ±0. 3 ） d in the experimental group, and was lower than （3.2 ± 0.5 ） d in the control group, and the difference was statistically significant （t = 5. 182, P 〈 0. 05）. The hospital stays in ICU, the total of hospital stays were respectively （5.2 ± 0.3 ） , （9.6 ± 1.4） d in the experimental group, and were （ 5.8 ± 0.3 ） , （ 8.8 ± 1.2） d in the control group, and the differences were not statistically significant （t = 1. 013, 2. 674, respectively; P 〉 0. 05 ）. The mortality rates of patients in ICU and during the hospital were respectively 8%, 8% in the experimental group, and were 12% , 16% in the control group, and the differences were not statistically significant （ X2 = 3. 873, 4. 347,respectively; P 〉 0. 05 ）. Conclusions Early programming activities are very important to reduce the time of mechanical ventilation, and decrease the incidence of long-term complication, and improve the quality of life of patients.

关 键 词：重症监护病房 早期程序化活动 呼吸机通气 

分 类 号：R472.2[医药卫生—急诊医学]