ICU应用舒适护理的临床效果分析  

Clinical effect analysis of comfortable nursing application in Intensive Care Unit(ICU)

作　　者：李翠玉[1] 刘海木 卫女仲[1] 马明远[1] 胡慧娟 LI Cuiyu;LIU Haimu;WEI Nvzhong;MA Mingyuan;HU Huijuan(Department of Critical Care Medicine,Foshan Hospital of Traditional Chinese Medicine,Guangdong,Foshan 528000,China)

机构地区：[1]广东省佛山市中医院重症医学科

出　　处：《中国医药科学》2019年第23期152-154,166,共4页China Medicine And Pharmacy

基　　金：广东省佛山市科技创新专项资金项目（2015AG10001）

摘　　要：目的分析舒适护理干预在ICU病房的临床效果。方法选取我院于2018年1~12月收治的122例ICU急重症患者,按照随机数字表法分为对照组62例与观察组60例。观察组给予舒适护理,对照组给予常规护理。比较两组心理(SAS、SDS)评分变化、胃肠道功能及患者满意度。结果 (1)两组SAS、SDS评分在护理后与护理前比较均显著降低(P <0.05);两组护理后比较差异有统计学意义(P <0.05)。(2)观察组在出院前每分钟肠鸣次数、腹内压与腹围变化方面均较对照组有改善(P <0.05)。(3)观察组的非常满意、满意、较满意以及不满意发生率分别为36.7%、46.7%、10.0%以及6.6%,对照组分别为12.9%、51.6%、25.8%以及9.7%,两组比较差异有统计学意义(P <0.05)。结论 ICU应用舒适护理,可以改善患者焦虑及忧郁的心理状况,改善患者胃肠道反应,促进患者早期排便。舒适护理也能提高患者的护理满意度,促进患者配合临床治疗,早期恢复健康。值得临床推广应用。Objective To analyze the clinical effect of comfortable nursing intervention in ICU ward. Methods 122 ICU patients with acute and severe illness who were admitted to our hospital from January 2018 to December 2018 were analyzed. The patients were divided into the control group(62 cases) and the observation group(60 cases) according to the random number table method. The observation group was given comfortable nursing, and the control group was given conventional nursing. The change in psychological(SAS, SDS) score, gastrointestinal function and patient satisfaction were compared between the two groups. Results(1) The scores of SAS and SDS in the two groups were significantly decreased after nursing compared with those before nursing(P < 0.05). The comparison between the two groups after nursing was statistically significant(P < 0.05).(2) Before discharge, the changes in the number of bowel sounds per minute, intra-abdominal pressure, and abdominal circumference in the observation group were improved compared with the control group(P < 0.05).(3) The incidences of very satisfied, satisfied, relatively satisfied and dissatisfied in the observation group were 36.7%, 46.7%, 10.0% and 6.6%, while the values in the control group were 12.9%, 51.6%, 25.8% and 9.7%, and the comparison between the two groups was statistically significant(P < 0.05). Conclusion The application of comfortable nursing in ICU can improve the psychological state of anxiety and depression, improve gastrointestinal reactions, and promote early defecation. Comfortable nursing can also improve patient nursing satisfaction, and promote patients to cooperate with clinical treatment and restore health early, which is worthy of clinical promotion and application.

关 键 词：舒适护理 心理评分变化 胃肠道功能 患者满意度 

分 类 号：R473[医药卫生—护理学]