基于前馈控制护理在预防ICU机械通气患者谵妄中的效果观察  

Effect observation of feedforward control based nursing on the prevention of delirium in ICU mechanically ventilated patients

作　　者：朱兰芳 ZHU Lanfang(Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai,200237,China)

机构地区：[1]上海交通大学医学院附属仁济医院,上海市200237

出　　处：《护理实践与研究》2022年第15期2286-2289,共4页Nursing Practice and Research

摘　　要：目的探讨基于前馈控制的护理干预在预防ICU机械通气患者谵妄中的应用。方法选取2020年1月—2021年12月医院收治的ICU机械通气患者92例,按患者入院时间将患者分为对照组(2020年1—12月)和观察组(2021年1—12月),每组46例。对照组行常规护理,观察组实施基于前馈控制的护理干预,比较两组谵妄发生率、谵妄相关不良事件发生率、预后情况、护理纠纷发生率及患者满意率。结果观察组谵妄发生率、谵妄相关不良事件发生率低于对照组(P<0.05),观察组护理满意率高于对照组(P<0.05)。观察组谵妄持续时间、机械通气时间、住ICU时间、住院时间均短于对照组(P<0.05)。结论基于前馈控制的护理干预能有效预防ICU机械通气患者谵妄及相关不良事件发生,有效缩短患者机械通气时间,改善患者预后,提高患者护理满意度。Objective To explore the application of nursing intervention based on feedforward control in the prevention of delirium in ICU mechanical ventilation patients.Methods A total of 92 patients with mechanical ventilation admitted in the ICU from January 2020 to December 2021 were selected and divided into a control group(from January to December 2020)and an observation group(from January to December 2021)according to admission time,with 46 patients in each group.The control group received routine nursing,and the observation group received nursing intervention based on feedforward control.The incidence of delirium,incidence of delirium-related adverse events,prognosis,incidence of nursing disputes and satisfaction rate of patients were compared between two groups.Results The incidence of delirium and delirium-related adverse events in the observation group was lower than the control group(P<0.05),the nursing satisfaction rate in the observation group was higher than the control group(P<0.05).The delirium duration,mechanical ventilation time,ICU stay and hospital stay in the observation group were shorter than the control group(P<0.05).Conclusion Nursing intervention based on feedforward control could eff ectively prevent delirium and related adverse events in ICU patients with mechanical ventilation,eff ectively shorten the time of mechanical ventilation,improve the prognosis of patients,and improve the nursing satisfaction of patients.

关 键 词：前馈控制 护理干预 ICU机械通气 谵妄 满意度 

分 类 号：R47[医药卫生—护理学]