多发伤术后患者实施每日唤醒护理策略疗效观察  

Effect of waking up nursing strategy daily in patients with multiple trauma after operation

作　　者：周玉华[1] ZHOU Yu-hua(Department of Intensive Care Unit,the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003,Henan Province,China)

机构地区：[1]新乡医学院第三附属医院重症医学科,河南新乡453003

出　　处：《新乡医学院学报》2018年第4期340-342,共3页Journal of Xinxiang Medical University

基　　金：河南省基础与前沿技术研究计划(自然科学基金)资助项目(编号:132300410160)

摘　　要：目的探讨多发伤术后患者实施每日唤醒护理策略的疗效。方法将2014年1月至2016年6月于新乡医学院第三附属医院接受手术治疗的56例多发伤患者分为对照组和观察组,每组28例。所有患者给予机械通气和镇痛镇静治疗,同时对照组患者实施常规护理,观察组患者实施每日唤醒护理策略。比较2组患者意识好转时间、苏醒时间、并发症、机械通气时间、镇痛镇静药物用量、住院费用及重症监护病房(ICU)住院时间等。结果观察组患者意识好转时间及苏醒时间均短于对照组(P<0.05)。对照组患者谵妄、呼吸机相关性肺炎及反流误吸发生率分别为28.6%(8/28)、42.9%(12/28)、32.1%(9/28),观察组患者谵妄、呼吸机相关性肺炎及反流误吸发生率分别为3.6%(1/28)、10.7%(3/28)、7.2%(2/28),观察组患者谵妄、呼吸机相关性肺炎及反流误吸发生率均低于对照组(χ~2=3.265、3.146、3.308,P<0.05)。与对照组比较,观察组患者机械通气时间和ICU住院时间短(P<0.05),镇痛镇静药物用量及住院费用少(P<0.05)。结论多发伤患者术后实施每日唤醒护理策略可以明显降低并发症发生率,减少镇痛镇静药物用量,缩短住院时间。Objective To explore the effect of waking up nursing strategy daily in patients with multiple trauma after operation.Methods A total of 56 cases with multiple trauma who were performed with surgery in the Third Affiliated Hospital of Xinxiang Medical University from January 2014 to May 2016 were selected and divided into control group and observation group,with 28 cases in each group.All patients were given mechanical ventilation and analgesic sedative treatment.Meanwhile the patients in the control group were given conventional care,the patients in the observation group were given waking up nursing strategy daily.The time of consciousness improving time,waking time,complications,mechanical ventilation time,dosage of analgesic sedative medicine,cost of hospitalization and hospitalization time in intensive care unit(ICU)were compared between the two groups.Results The time of consciousness improving time and waking time in the observation group were shorter than those in the control group(P<0.05).The incidence rate of deliration,ventilator-associated pneumonia,backstreaming and aspiration in the control group was 28.6%(8/28),42.9%(12/28),32.1%(9/28),respectively;while the incidence rate of deliration,ventilator-associated pneumonia,backstreaming and aspiration in the observation group was 3.6%(1/28),10.7%(3/28),7.2%(2/28),respectively.The incidence rate of deliration,ventilator-associated pneumonia,backstreaming and aspiration in the observation group was lower than that in the control group(χ2=3.265,3.146,3.308;P<0.05).Compared with the control group,the mechanical ventilation time and hospitalization time in ICU were shorter(P<0.05),the dosage of analgesic sedative medicine and cost of hospitalization were fewer in the observation group(P<0.05).Conclusion The treatment of waking up nursing strategy daily can reduce the incidence of complications and the dosage of analgesic sedative medicine,and shorten the hospitalization time in the patients with multiple trauma after operation.

关 键 词：多发伤 镇痛镇静 每日唤醒 护理策略 

分 类 号：R473.6[医药卫生—护理学]