eCASH理念指导下最小化镇静策略联合气道专项护理对ICU机械通气患者呼吸功能及舒适度的影响  

Impactation of Minimizing Sedation Strategy under the Guidance of eCASH Concept Combined with Airway Specialized Nursing on Respiratory Function and Comfort of ICU Mechanically Ventilated Patients

作　　者：张大鸿 ZHANG Dahong(Department of Intensive Care Medicine,Hefei First People’s Hospital,Hefei 230000,China)

机构地区：[1]安徽省合肥市第一人民医院重症医学科,安徽合肥230000

出　　处：《中国伤残医学》2025年第7期125-128,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨舒适化浅镇静策略(eCASH)理念指导下最小化镇静策略联合气道专项护理对重症监护室(ICU)机械通气患者呼吸功能、舒适度的影响。方法:回顾性分析2021年1月—2023年1月安徽合肥市第一人民医院收治的100例ICU机械通气患者资料,根据护理方式的不同将其分为对照组和观察组,各50例。对照组予以常规护理,观察组在对照组基础上予以eCASH理念指导下最小化镇静策略联合气道专项护理。比较两组呼吸功能、舒适度、生存质量及并发症发生情况。结果:护理1周后,观察组血氧分压、血氧饱和度均高于对照组,二氧化碳分压低于对照组,差异均有统计学意义(P<0.05)。护理后3个月,观察组舒适状况量表中各个维度评分均高于对照组,差异均有统计学意义(P<0.05)。护理后3个月,观察组世界卫生组织生存质量测定量表中各个领域评分均高于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为4.00%,低于对照组的16.00%,差异有统计学意义(P<0.05)。结论:eCASH理念指导下最小化镇静策略联合气道专项护理可有效改善ICU机械通气患者呼吸功能,提高患者护理舒适度和生存质量,且降低了并发症发生风险。Objective:To explore the impact of minimizing sedation strategy under the guidance of early comfort using analgesia,minimal sedatives and maximal humane care(eCASH)concept combined with airway specific nursing on respiratory function and comfort of mechanically ventilated patients in the intensive care unit(ICU).Methods:A retrospective analysis was conducted on the data of 100 ICU mechanically ventilated patients admitted to the Hefei First People’s Hospital from January 2021 to January 2023,and they were divided into a control group and an observation group according to the different nursing methods,with 50 cases in each group.The control group received routine care,while the observation group received minimal sedation strategy under the guidance of eCASH combined with airway specific care concept on the basis of the control group.The respiratory function,comfort level,quality of life,and incidence of complications between the two groups were compared.Results:After 1 week of nursing,the blood oxygen partial pressure and blood oxygen saturation of the observation group were higher than those of the control group,and the carbon dioxide partial pressure of the observation group was lower than that of the control group,with statistically significant differences(P<0.05).After 3 months of nursing,the scores of all dimensions in the General Comfort Questionnaire of the observation group were higher than those of the control group,with statistically significant differences(P<0.05).After 3 months of nursing,the scores in all areas of the World Health Organization Quality of Life Scale in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).The incidence of complications in the observation group was 4.00%,which was lower than the 16.00%in the control group,with statistically significant differences(P<0.05).Conclusions:The minimization of sedation strategy under the guidance of the eCASH concept combined with specialized airway care can effectively improve t

关 键 词：机械通气 舒适化浅镇静策略 最小化镇静策略 气道专项护理 呼吸功能 舒适度 

分 类 号：R459.7[医药卫生—急诊医学] R47[医药卫生—治疗学]