缩减约束护理模式在ICU气管插管患者风险事件及睡眠改善中的应用  

Application of Reduced Restraint Nursing Mode in Risk Events and Sleep Improvement in Patients with Tracheal Intubation in ICU

作　　者：颜小玲 吴鹭情 YAN Xiaoling;WU Luqing(Department of Critical Care Medicine,The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院重症医学科,厦门361000

出　　处：《世界睡眠医学杂志》2024年第7期1602-1604,共3页World Journal of Sleep Medicine

摘　　要：目的:观察重症监护室(ICU)气管插管患者接受缩减约束护理模式的价值。方法:选取2022年9月至2023年9月厦门大学附属第一医院ICU收治的气管插管患者92例作为研究对象,按照随机数字表法分为对照组和观察组,每组46例。对照组开展常规护理,观察组开展缩减约束护理模式。评比患者风险事件、不适感受、睡眠质量。结果:风险事件比较,观察组总发生率较对照组下降幅度更大,差异有统计学意义(P<0.05);中文版ICU患者不适评估量表(IPREA)比较,观察组干预后下降趋势较对照组更明显,差异有统计学意义(P<0.05);中文版理查兹-坎贝尔睡眠量表(RCSQ)比较,观察组干预后增加趋势较对照组更明显,差异有统计学意义(P<0.05)。结论:ICU气管插管患者接受缩减约束护理模式,能明显控制风险事件,减少不适感受,改善睡眠质量。Objective:To observe the value of reduced restraint nursing in patients with tracheal intubation in intensive care unit(ICU).Methods:A total of 92 patients with endotracheal intubation were selected from the ICU of our hospital(sample period from September 2022 to September 2023)and divided into 2 groups According to the random number table method,with 46 cases in each group.The control group carried out routine nursing,the observation group carried out reduced restraint nursing mode.Risk events,discomfort,and sleep quality were evaluated.Results:Compared with the control group,the total incidence of risk events in the observation group decreased significantly,and there was a statistical difference between the two groups(P<0.05).Compared with the Chinese version of ICU Patient Discomfort Assessment Scale(IPREA),the observation group showed a more obvious downward trend after intervention than the control group,and there was a statistical difference between the two groups(P<0.05).Compared with the Chinese version of Richards-Campbell Sleep Scale(RCSQ),the increase trend of the observation group after intervention was more obvious than that of the control group,and there was a statistical difference between the two groups(P<0.05).Conclusion:Patients with tracheal intubation in ICU can significantly control risk events,reduce discomfort and improve sleep quality after receiving reduced restraint nursing mode.

关 键 词：重症监护 气管插管 缩减约束护理模式 睡眠质量 不适感受 非计划拔管 皮肤损伤 睡眠障碍 

分 类 号：R338.63[医药卫生—人体生理学] R473.5[医药卫生—基础医学]