基于预见性理论的集束化护理在ICU患者脑电图监测中的应用效果  

Application effect of cluster nursing based on predictive theory in the electroencephalogram monitoring of ICU patients

作　　者：陈莉芳[1] 许晨 潘佳 邵英英[1] Chen Lifang;Xu Chen;Pan Jia;Shao Yingying(Intensive Care Unit,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院重症监护室,上海201203

出　　处：《国际护理学杂志》2023年第7期1258-1262,共5页international journal of nursing

基　　金：2020年度上海中医药大学预算内科研项目(2020HL162)

摘　　要：目的:探究基于预见性理论的集束化护理在重症加强护理病房(ICU)患者脑电图检测中的应用效果。方法:收集2018年6月至2020年12月期间上海中医药大学附属曙光医院收治的ICU脑电图监测的患者274例,随机分为对照组(137例)和干预组(137例),对照组实施常规护理,干预组给予基于预见性理论的集束化护理,对比两组脑电图监测成功率、心理状况、护理满意度和不良事件发生率。结果:干预组脑电图检测总成功率为97.81%,显著高于对照组的86.86%(P<0.05)。干预前,两组患者焦虑和抑郁评分无明显差异(P>0.05),经不同护理方案干预后,干预组焦虑、抑郁评分分别为(44.65±7.42)分、(41.22±8.79)分,均显著低于对照组(P<0.05)。干预组患者仪容仪表、护理态度、护理质量、护理主动性各项评分分别为(98.97±0.25)分、(99.95±0.47)分、(99.26±0.32)分、(99.89±0.15)分,均显著高于对照组(P<0.05)。干预组患者不良事件总发生率为2.92%,低于对照组的8.76%(P<0.05)。结论:与常规护理相比,基于预见性理论的集束化护理方案可显著提高ICU患者脑电图监测成功率,改善患者焦虑、抑郁等情绪,提高护理满意度,降低不良事件发生率,值得临床借鉴。Objectivee To explore the application effect of cluster nursing based on predictive theory in the electroencephalogram detection of patients in intensive care unit(ICU).Methods A total of 274 patients with electroencephalogram monitoring in ICU of this hospital were collected from June 2018 to December 2020,and were randomly divided into control group(n=137)and intervention group(n=137).The patients in the control group implemented conventional nursing,and the patients in the intervention group were given cluster nursing based on predictive theory.The success rate of electroencephalogram monitoring,psychological status,nursing satisfaction and incidence rates of adverse events were compared between the two groups.Results The total success rate of electroencephalogram monitoring with 97.81%in intervention group was significantly higher than 86.86%in control group(P<0.05).Before intervention,there were no significant differences in scores of anxiety and depression between the two groups(P>0.05).After intervention with different nursing regimens,the scores of anxiety and depression of(44.65±7.42)points and(41.22±8.79)points in intervention group were significantly lower than those in control group(P<0.05).These cores of items of appearance,nursing attitude,nursing quality and nursing initiative of(98.97±0.25)points,(99.95±0.47)points,(99.26±0.32)points and(99.89±0.15)points in intervention group were significantly higher than those in control group(P<0.05).The total incidence rate of adverse events in intervention group was lower than that in control group(2.92%vs 8.76%)(P<0.05).Conclusions Compared with conventional nursing,cluster nursing based on predictive theory can increase the success rate of electroencephalogram monitoring in ICU patients,improve the anxiety and depression,enhance the nursing satisfaction,and reduce the incidence rates of adverse events,therefore it is worthy of clinical practice.

关 键 词：预见性理论 集束化护理 重症加强护理病房 脑电图监测 

分 类 号：R473[医药卫生—护理学]