护士主导的危重症患者镇痛镇静管理研究进展  

Research progress of analgesic and sedative management of critically ill patients led by nurses

作　　者：张猛[1] ZHANG Meng(Department of Emergency,Tianjin Baodi District People’s Hospital,Tianjin 301800,China)

机构地区：[1]天津市宝坻区人民医院急诊科,天津301800

出　　处：《中国城乡企业卫生》2021年第11期47-49,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：ICU病房中的重症患者属于临床护理重点对象,由于该类患者时常处于强烈的应激状态下,所以更需要通过镇静镇痛治疗缓解患者生理上的不适症状及精神上的焦虑、抑郁等情绪。近些年来,临床不断提升对于ICU病房的镇痛镇静管理的重视程度,并在广泛的应用和实践过程中,鉴于其明显的应用成效受到了临床相关人员和就诊患者的普遍认可。本文将以护士主导的危重症患者镇痛镇静管理意义作为思考问题的出发点,从多方面列举并阐述了护士所参与的镇痛镇静管理内容,包括音乐疗法、每日唤醒疗法、集束化镇痛镇静护理。在对于不同镇静镇痛管理内容进行探讨的过程中,概括了其所具有的优点,同时也指明了现存的不足之处,希望能够进一步提升护士主导的危重症患者镇静镇痛管理水平,构建更加完善的管理体制,为患者提高更好的服务。Severe patients in ICU ward are the key objects of clinical nursing.Because these patients are often in a strong state of stress,sedation and analgesia treatment are more needed to alleviate the patients’physical discomfort symptoms and mental anxiety,depression and other emotions.In recent years,the importance of analgesia and sedation management in ICU ward has been continuously improved.In the process of wide application and practice,in view of its obvious application effect,it has been widely recognized by clinical relevant personnel and patients.Taking the significance of nurse led analgesia and sedation management for critically ill patients as the starting point,this paper lists and expounds the contents of analgesia and sedation management participated by nurses from many aspects,including music therapy,daily wake-up therapy and cluster analgesia and sedation nursing.In the process of discussing different sedation and analgesia management contents,this paper summarizes its advantages and points out the existing shortcomings,hoping to further improve the sedation and analgesia management level of critically ill patients led by nurses,build a better management system and provide better services for patients.

关 键 词：护士主导 危重症患者 镇痛镇静 每日唤醒疗法 音乐疗法 集束化镇痛镇静疗法 

分 类 号：R473.5[医药卫生—护理学]