预见性护理在ICU重症患者中的应用效果  

Application effects of predictive nursing on critical patients in ICU

作　　者：龚蕊毕娟 龚蕊[1] 毕娟[2] 

机构地区：[1]哈尔滨医科大学附属第一医院重症医学科(ICU)A区,150001 [2]河北医科大学第二医院护理部,石家庄050000

出　　处：《中华现代护理杂志》2015年第33期4026-4028,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨预见性护理与常规护理两种护理方式用于ICU重症患者护理中的治疗效果差异，寻求更有效的护理方法。方法选择2012年6月-2013年6月ICU重症患者96例为研究对象，采用随机数字表法将其分为对照组与观察组，每组48例。对照组按常规护理方式进行护理；观察组按预见性护理模式进行护理。比较两组患者治疗有效率、并发症发生率及护理满意率。结果观察组患者治疗总有效率为79．2％，并发症发生率为18．8％，护理满意率为93．8％；对照组患者治疗总有效率为68．8％，并发症发生率为25．0％，护理满意率为79．2％，两组比较差异均有统计学意义（x^2值分别为12．30，5．28，5．23；P〈0．05）。护理后观察组患者焦虑和抑郁评分均低于对照组，差异有统计学意义（P〈O．05）。结论预见性护理用于ICU重症患者护理中能够改善其临床疗效，降低不良反应发生率，改善其心理状态，提高护理满意度。Objective The predictive nursing and routine nursing of two kinds of nursing care for patients with severe ICU value were compared, to seek the effective nursing methods in clinic. Methods A total of 96 ICU critical patients were selected from 2012 June to 2013 June and divided into observation group and control group by random number table, each group of 48 cases. The patients of control group underwent routine care while the patients of observation group received predictive nursing. Nursing efficacy, incidence of complications and nursing satisfaction rate were compared between two groups. Results In the observation group, the total efficiency, incidence of complication and patient＇s satisfaction were 79.2% , 18.8%, and 93.8% compared 68.8% , 25.0% and 79.2% in the control group （ x^2 = 12.30, 5.28, 5.23 ;P 〈 0.05 ）. The patients＇ anxiety and depression scores in the observation group were lower than those of the control group after nursing （P 〈 0.05 ）. Conclusions The application of predictive nursing can improve clinical efficacy for critical patients in ICU, reduce the adverse reactions, and improve nursing satisfaction rate advantage.

关 键 词：ICU 预见性护理 并发症 护理满意度 负性情绪 

分 类 号：R743.34[医药卫生—神经病学与精神病学]