针对性护理干预在ICU采用镇静、镇痛药物治疗的患者的临床效果观察  

Observation of Clinical Effect of Targeted Nursing Intervention on Patients Treated with Sedative and Analgesic Drugs in ICU

作　　者：姚丹[1] YAO Dan(Zhengzhou Seventh People's Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]郑州市第七人民医院,河南郑州450000

出　　处：《药品评价》2020年第7期6-7,22,共3页Drug Evaluation

基　　金：河南省科技攻关计划项目(编号2018020861)。

摘　　要：目的:观察针对性护理干预在ICU采用镇静、镇痛药物治疗患者的临床效果。方法:选取2018年1月-2019年12月我院ICU收治的60例患者作为研究对象,所有患者均接受镇静、镇痛药物治疗,按照随机数字表法将其分为观察组(30例)与对照组(30例),对照组患者采用常规护理,观察组患者在对照组基础上加用针对性护理干预。比较两组患者镇静、镇痛效果,ICU住院时间,住院费用,调查患者护理满意度。结果:两组间Ramsay评分、视觉模拟评分法(VAS)评分对比,护理前差异无统计学意义,护理后观察组明显降低,与对照组比较P<0.05,差异有统计学意义;观察组患者ICU住院时间、住院费用均少于对照组,差异有统计学意义(P<0.05);两组患者护理满意度比较为93.3% vs 70.0%(P<0.05),差异有统计学意义。结论:针对性护理干预在ICU采用镇静、镇痛药物治疗患者中的应用,能够强化镇静、镇痛效果,缩短患者ICU住院时间,提高患者满意度,可予以推广。Objective:To observe the clinical effect of sedative and analgesic drugs in ICU patients with targeted nursing intervention.Methods:From January 2018 to December 2019,selected as the research object of 60 patients admitted in our hospital ICU patients,all patients were treated for a calm analgesic drug according to random number table method will be divided into the observation group(30 cases)and control group(30 cases)and control group were treated by routine nursing care,observation group of patients in the control group used the reasonable nursing intervention.The sedative and analgesic effects,length of stay in ICU and hospitalization expenses of patients in the two groups were compared to investigate patients'nursing satisfaction.Results:There was no statistically significant difference in Ramsay score and VAS score between the two groups before nursing care,but the difference was significantly reduced in the observation group after nursing care,and the difference was statistically significant compared with the control group(P<0.05).The length of ICU stay and hospitalization cost of patients in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of patients in the two groups was 93.3%vs 70.0%(P<0.05),and the difference was statistically significant.Conclusion:The application of targeted nursing intervention in the treatment of patients with sedative and analgesic drugs in ICU can enhance the sedative and analgesic effects,shorten the length of stay in ICU,and improve patient satisfaction,which can be promoted.

关 键 词：针对性护理 ICU 镇静镇痛药物 RAMSAY评分 VAS评分 护理满意度 

分 类 号：R459[医药卫生—治疗学]