以ABCDEF为导向的集束化护理在ICU重症脑梗死患者中的应用效果  

The effect of ABCDEF-oriented cluster nursing in ICU patients with severe cerebral infarction

作　　者：吴涤清 阮洪泽 潘凤丽 WU Diqing;RUAN Hongze;PAN Fengli(Department of Critical Care Medicine,The Second People's Hospital of Liaocheng,Liaocheng,Shandong 252600,China;Department of Rehabilitation Medicine,The Second People's Hospital of Liaocheng,Liaocheng,Shandong 252600,China)

机构地区：[1]聊城市第二人民医院重症医学科,山东聊城252600 [2]聊城市第二人民医院康复医学科,山东聊城252600

出　　处：《医药前沿》2025年第9期103-106,共4页Journal of Frontiers of Medicine

摘　　要：目的探讨以ABCDEF为导向的集束化护理在重症监护室(ICU)重症脑梗死患者中的应用效果。方法选取2023年1—12月聊城市第二人民医院ICU收治的98例重症脑梗死患者,采用随机数字表法分为对照组和观察组各49例。对照组实施传统护理,观察组实施以ABCDEF为导向的集束化护理。比较两组机械通气时间、ICU住院时间、神经功能缺损程度、生活质量、谵妄发生率、不良事件发生率及护理满意度。结果观察组机械通气时间、ICU住院时间均短于对照组,差异均有统计学意义(P<0.05)。护理前,两组美国国立卫生院卒中量表(NIHSS)、脑卒中专用生活质量量表(SS-QOL)评分比较,差异均无统计学意义(P>0.05)。护理后,两组NIHSS评分低于护理前,且观察组低于对照组(P<0.05);两组SS-QOL评分高于护理前,且观察组高于对照组(P<0.05);观察组谵妄发生率、不良事件总发生率均低于对照组,患者和家属对护理的满意度均高于对照组(P<0.05)。结论以ABCDEF为导向的集束化护理能够有效改善重症脑梗死患者的临床结局,提高其生活质量和护理满意度。Objective To investigate the effect of ABCDEF-oriented cluster nursing in patients with severe cerebral infarction in intensive care unit(ICU).Methods Methods A total of 98 patients with severe cerebral infarction admitted to the ICU of Liaocheng Second People's Hospital from January to December 2023 were randomly assigned to either the control group or the observation group,with 49 patients in each group.The control group received traditional nursing care,while the observation group received ABCDEF-oriented cluster nursing.We compared the duration of mechanical ventilation,length of ICU stay,degree of neurological impairment,quality of life,incidence of delirium,incidence of adverse events,and nursing satisfaction between the two groups.Results The observation group exhibited significantly shorter durations of mechanical ventilation and ICU stay compared to the control group(P<0.05).Prior to nursing intervention,there were no significant differences in the scores of the National Institutes of Health Stroke Scale(NIHSS)and Stroke-Specific Quality of Life(SS-QOL)between the two groups(P>0.05).Post-intervention,the NIHSS scores in both groups decreased compared to pre-intervention(P<0.05),with the observation group showing a greater reduction than the control group(P<0.05).Similarly,the SS-QOL scores in both groups increased post-intervention,with the observation group achieving higher scores than the control group(P<0.05).The incidence of delirium and the overall incidence of adverse events were significantly lower in the observation group compared to the control group,and nursing satisfaction among patients and their families was higher in the observation group(P<0.05).Conclusions ABCDEF-oriented cluster nursing can effectively improve the clinical outcome,quality of life and nursing satisfaction of patients with severe cerebral infarction.

关 键 词：重症脑梗死 ABCDEF集束化护理 重症监护室 谵妄 不良事件 神经功能 生活质量 护理满意度 

分 类 号：R473[医药卫生—护理学]