加强ICU后综合征认知护理管理对ICU患者临床效果的影响  

Effects of strengthening cognitive nursing management of post-ICU syndrome on clinical outcomes of ICU patients

作　　者：刘砂沙[1] 刘红波[1] 黄定瑞[1] 凌云[1] 瞿嵘[1] Liu Shasha;Liu Hongbo;Huang Dingrui;Ling Yun;Qu Rong(Huizhou Central People's Hospital,516000,China)

机构地区：[1]惠州市中心人民医院,516000

出　　处：《国际护理学杂志》2022年第8期1463-1466,共4页international journal of nursing

基　　金：2019年惠州市科技计划医疗卫生项目 (2019Y006)。

摘　　要：目的探讨加强重症监护室(ICU)后综合征认知护理管理后对ICU患者临床效果的影响。方法将2019年1~6月惠州市中心人民医院收治的ICU患者75例作为观察组,实施加强ICU后综合征认知的护理管理,同时选取同时期患者75例作为对照组,予以常规护理管理。比较两组患者在转出ICU第二天、出院当日及转出ICU三个月后ICU后综合征的发生情况,用简易精神状态量表(MMSE)、Barthel指数量表及焦虑自评量表(SAS)分别从患者的认知、生理及心理方面评估患者的状态,同时比较两组患者对护理满意度的评价。结果观察组患者发生ICU后综合征情况少于对照组,差异有统计学意义(P<0.05);患者护理干预后的整体状态均有所好转,但观察组患者MMSE、Barthel、SAS评分结果优于对照组,差异有统计学意义(均P<0.05);观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论加强ICU后综合征的认知护理管理,可明显改善患者临床效果。Objective To explore the effect of strengthening cognitive nursing management on clinical outcomes of patients with post-ICU syndrome.Methods A total of 75 ICU patients admitted to this hospital from January to June 2019 were selected as the observation group,and the nursing management of strengthening post-ICU syndrome cognition was implemented.At the same time,75 patients at the same time were selected as the control group,and received routine nursing management.The incidence of post-ICU syndrome in the two groups was compared on the second day,the day of discharge,and three months after the transfer from ICU.The patients'cognitive,physiological,and psychological states were evaluated by mini-mental state examination(MMSE),Barthel index and self-rating anxiety scale(SAS),respectively.At the same time,the evaluation of nursing satisfaction between the two groups was compared.Results The incidence of post-ICU syndrome in observation group was less than that in control group,and the difference was statistically significant(P<0.05).The overall state of the patients improved after nursing intervention.However,MMSE,Barthel,SAS score in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions Strengthening the cognitive nursing management of post-ICU syndrome for ICU patients,it can significantly improve the general situation of patients.

关 键 词：ICU后综合征 认知护理 临床效果 

分 类 号：R473[医药卫生—护理学]