基于JBI模式的循证护理在重症监护后综合征患者中的应用效果  

The Application Effect of Evidence-based Nursing Based on JBI Model in Patients with Post-intensive Care Syndrome

作　　者：邱楚杰 周淑玫 范文丽 QIU Chujie;ZHOU Shumei;FAN Wenli(ICU,First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门大学附属第一医院ICU,福建厦门361000

出　　处：《中外医疗》2024年第5期141-145,共5页China & Foreign Medical Treatment

摘　　要：目的分析基于澳大利亚循证卫生保健中心(Joanna Briggs Institute,JBI)模式的循证护理在重症监护后综合征患者中的应用价值。方法回顾性选取2020年8月—2022年8月厦门大学附属第一医院收治的80例重症监护后综合征患者的临床资料,依据护理方法的不同进行分组。对照组(n=40)行常规护理,观察组(n=40)联合应用基于JBI模式的循证护理,对比两组护理前后情绪状态(焦虑、抑郁、压力)、创伤应激反应(躯体反应、情绪反应、行为反应)、血气指标(血氧饱和度、动脉血氧分压、动脉二氧化碳分压)和重症监护护理评分系统(Intensive Care Nursing Scoring System,ICNSS)评分。结果两组护理前情绪状态、创伤应激反应和ICNSS评分对比,差异无统计学意义(P均>0.05),观察组护理后抑郁、焦虑、压力、创伤应激反应和ICNSS评分分别为(7.32±1.16)分、(7.44±1.32)分、(11.52±1.12)分、(26.84±4.60)分和(16.84±2.58)分,明显低于对照组,差异有统计学意义(t=9.577、10.431、14.431、17.752、11.606,P均<0.05);两组护理前后血气指标对比,差异无统计学意义(P>0.05),两组护理后血氧饱和度和动脉氧分压高于同组护理前,动脉二氧化碳水平低于同组护理前,差异有统计学意义(P均<0.05)。结论基于JBI模式的循证护理可缓解重症监护后综合征患者负面情绪,可减少创伤应激反应,降低疾病严重程度,有较高应用价值。Objective To analyze the value of evidence-based care based on the Australian Centre for Evidence-Based Health Care(Joanna Briggs Institute,JBI)model in patients with post-critical care syndrome.Methods A retro The clinical data of 80 patients with post-critical care syndrome admitted to the First Affiliated Hospital of Xiamen University from August 2020 to August 2022 were retrospectively selected,and were grouped according to the difference in nursing methods.The control group(n=40)received routine care,and the observation group(n=40)received evidence-based care based on the JBI model.Compared the emotional state(anxiety,depression,stress),traumatic stress response(physical response,emotional response,behavioral response),blood gas indicators(blood oxygen saturation,arterial blood oxygen partial pressure,arterial carbon dioxide partial pressure)and Intensive Care Nursing Scoring System(ICNSS)score between two groups before and after nursing.Results There were no statistically significant differences in the emotional state,traumatic stress response and ICNSS scores between the two groups before care(P>0.05).The post-nursing depression,anxiety,stress,traumatic stress reaction and ICNSS scores of the observation group were(7.32±1.16)points,(7.44±1.32)points,(11.52±1.12)points,(26.84±4.60)points and(16.84±2.58)points,which were lower than those of the control group.The differences were statistically significant(t=9.577,10.431,14.431,17.752,11.606,all P<0.05).There was no statistically significant difference in blood gas indicators between the two groups before and after nursing(P>0.05).The blood oxygen saturation and arterial oxygen partial pressure of the two groups after nursing were higher than those of the same group before nursing,and the arterial carbon dioxide level was lower than that of the same group before nursing,the differences were statistically significant(all P<0.05).Conclusion Evidence-based nursing based on the JBI model can alleviate the negative emotions of patients with post intensive care

关 键 词：循证护理 重症监护后综合征 情绪状态 创伤应激 血气指标 

分 类 号：R47[医药卫生—护理学]