护士主导的目标导向镇静策略在主动脉内球囊反搏术后患者中的应用  

Application of nurse led goal oriented sedation strategy in patients after intra-aortic balloon pump

作　　者：彭希 石泽亚[1] 刘芷静 何沛秦 尹淑慧 PENG Xi;SHI Zeya;LIU Zhijing;HE Peiqin;YIN Shuhui(The First Affi liated Hospital of Hunan Normal University,Changsha,410001,China)

机构地区：[1]湖南师范大学附属第一医院(湖南省人民医院),湖南省长沙市410001 [2]湖南师范大学医学院 [3]广州市妇女儿童医疗中心

出　　处：《护理实践与研究》2022年第24期3644-3648,共5页Nursing Practice and Research

基　　金：湖南省财政厅课题(编号:2050205高等教育);长沙市自然科学基金(编号:kq2202444);湖南省卫健委课题(编号:202214013647)。

摘　　要：目的探讨将护士主导的目标导向镇静策略应用于主动脉内球囊反搏(IABP)术后患者护理中的效果。方法选取2020年和2021年入住于湖南省人民医院心内科重症监护室并植入IABP的患者为研究对象,以2020年1—12月收治的IABP术后患者66例为对照组,2021年1—12月收治的IABP术后患者70例为观察组。对照组患者给予术后常规护理,观察组在常规护理的基础上实施护士主导的目标导向镇静策略。比较两组患者焦虑评分、疼痛评分、非计划性拔管发生率、并发症发生率、IABP使用时长及住院天数等指标。结果观察组的焦虑、疼痛评分均低于对照组,差异有统计学意义(P<0.05);观察组的非计划性拔管发生率、并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组患者的IABP使用时长、住院天数短于对照组,差异有统计学意义(P<0.05)。结论护士主导的目标导向镇静策略有利于减轻IABP术后患者焦虑及疼痛程度,减少非计划性拔管及并发症的发生,缩短IABP运行时长及住院天数。Objective To explore the effect of nurse-led goal-oriented sedation strategy in nursing care of patients after intra-aortic balloon pump(IABP).Methods The patients who were admitted to the ICU of cardiology department of Hunan Provincial People's Hospital in 2020 and 2021 and implanted with IABP were selected as the study objects.The 66 patients after IABP operation admitted from January to December 2020 were taken as a control group,and 70 patients after IABP operation admitted from January to December 2021 were taken as an observation group.The patients in the control group were given routine postoperative care,while the patients in the observation group were given goal oriented sedation strategy led by nurses on the basis of routine care.Anxiety score,pain score,incidence of unplanned extubation,incidence of complication,IABP duration and hospital stay were compared between the two groups.Results The anxiety and pain scores in the observation group were lower than those in the control group,and the diff erences were statistically signifi cant(P<0.05).The incidence of unplanned extubation and incidence of complication in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The IABP duration and hospital stay in the observation group were shorter than those in the control group,and the diff erences were statistically signifi cant(P<0.05).Conclusion The goal oriented sedation strategy led by nurses is helpful to reduce the anxiety and pain of patients after IABP,reduce the occurrence of unplanned extubation and complications,and shorten the running time and hospitalization days of IABP.

关 键 词：护士主导 目标导向镇静 主动脉内球囊反搏 焦虑 非计划性拔管 

分 类 号：R473.5[医药卫生—护理学]