ICU护士预见性干预对使用机械通气患者人机对抗的影响  

Effect of proactive intervention by ICU nurses on human-machine confrontation in patients undergoing mechanical ventilation

作　　者：余佳菊 吴小丽 谢卫 虞晓琴 YU Jiaju;WU Xiaoli;XIE Wei;YU Xiaoqin(Department of Intensive Care Medicine,Affiliated Hospital of Jiujiang University,Jiangxi Province,Jiujiang332000,China;Department of Nursing,Jiujiang University Affiliated Hospital,Jiangxi Province,Jiujiang332000,China)

机构地区：[1]九江学院附属医院重症医学科,江西九江332000 [2]九江学院附属医院护理部,江西九江332000

出　　处：《中国当代医药》2025年第5期171-175,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202131082)。

摘　　要：目的观察ICU护士预见性干预对减少使用呼吸机患者人机对抗的效果。方法选取2021年1月至2023年1月九江学院附属医院收治的80例术后需入住ICU患者作为研究对象,按照随机数字表法分为对照组和观察组,每组各40例。对照组患者予以常规护理,观察组患者予以ICU护士预见性干预。比较两组患者的临床指标、心理状态、呼吸功能、不良事件、生存质量。结果观察组机械通气时间、入住ICU时间短于对照组,差异有统计学意义(P<0.05);干预后,观察组焦虑症状自评量表(SAS)评分、抑郁症状自评量表(SDS)评分低于对照组,动脉氧分压(PaO_(2))、血氧饱和度(SpO_(2))高于对照组,气道压力(Paw)低于对照组,健康调查简表(SF-36)评分均高于对照组,差异有统计学意义(P<0.05);观察组不良事件总发生率低于对照组,差异有统计学意义(P<0.05)。结论采用ICU护士预见性干预能够有效缩短呼吸机使用时间,改善患者呼吸功能及心理状态,降低不良事件发生率,提高患者生存质量。Objective To observe the effect of ICU nurses'anticipatory intervention on reducing the use of pager in patients with human-machine confrontation.Methods A total of 80 patients admitted to the Affiliated Hospital of Jiujiang University from January 2021 to January 2023 who needed to be admitted to ICU after surgery were selected as the study objects,and they were divided into control group and observation group according to random number table method,with 40 cases in each group.Patients in the control group received routine care,while patients in the observation group received proactive intervention from ICU nurses.The clinical indicators,mental state,respiratory function,adverse events and quality of life of the two groups were compared.Results The mechanical ventilation time and ICU stay time of observation group were shorter than those of control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were lower than those in the control group,the arterial oxygen partial pressure(PaO_(2))and blood oxygen saturation(SpO_(2))were higher than those in the control group,the airway pressure(Paw)was lower than those in the control group,and scores the MOS item short form health survey(SF-36)were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Proactive intervention by ICU nurses can effectively shorten the use time of mechanical ventilators,improve patients'respiratory function and psychological status,reduce the incidence of adverse events,and improve patients'quality of life.

关 键 词：ICU 人机对抗 预见性干预 心理状态 不良事件 生存质量 

分 类 号：R472[医药卫生—护理学]