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中国当代医药  2024, Vol. 31 Issue (1): 155-158    
  护理研究 本期目录 | 过刊浏览 | 高级检索 |
早期多元化活动护理联合EGDS策略在机械通气多发伤患者中的应用
王燕玲 王海燕 余丽娜 习苏园 易利波 潘 琦 罗 琛▲
南昌大学第二附属医院综合ICU,江西南昌 330000
Application of early diversified activity nursing combined with EGDS strategy in patients with multiple injuries caused by mechanical ventilation
WANG Yanling WANG Haiyan YU Lina XI Suyuan YI Libo PAN Qi LUO Chen▲
Comprehensive ICU, the Second Affiliated Hospital of Nanchang University, Jiangxi Province, Nanchang 330000, China
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摘要 目的 探讨机械通气多发伤患者采用早期多元化活动护理联合早期目标导向镇静(EGDS)策略的效果。方法 选取2021年1月至2022年1月南昌大学第二附属医院收治的80例行机械通气多发伤患者为研究对象,按照随机数字表法分为对照组(40例)与观察组(40例)。对照组采用常规ICU护理联合标准镇静策略,观察组采用早期多元化活动护理联合EGDS策略,比较两组的镇静程度、临床指标、ICU获得性衰弱、谵妄发生率。结果 两组的躁动及深镇静发生率比较,差异无统计学意义(P>0.05);观察组浅镇静达标率高于对照组,差异有统计学意义(P<0.05);观察组机械通气时间、总住院时间及ICU住院时间均短于对照组,肌力评分高于对照组,差异有统计学意义(P<0.05);观察组ICU获得性衰弱及谵妄发生率均低于对照组,差异有统计学意义(P<0.05)。结论 机械通气多发伤患者采用早期多元化活动护理联合EGDS策略可达到浅镇静目标,降低ICU获得性衰弱、谵妄发生率风险,改善患者肌力状况,促进患者恢复。
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王燕玲 王海燕 余丽娜 习苏园 易利波 潘 琦 罗 琛▲
关键词 多发伤机械通气多元化活动护理目标导向镇静    
Abstract:Objective To explore the effect of early multiple activity nursing combined with early goal-directed sedation (EGDS) strategy in patients with multiple injuries caused by mechanical ventilation. Methods A total of 80 patients with multiple injuries undergoing mechanical ventilation admitted to the Second Affiliated Hospital of Nanchang University from January 2021 to January 2022 were selected as the study objects, and they were divided into control group (40 cases) and observation group (40 cases) according to random number table method. The control group used conventional ICU nursing combined with standard sedation strategy, while the observation group used early diversified activity nursing combined with EGDS strategy. The sedation level, clinical indicators, ICU acquired weakness, and delirium incidence rates of the two groups were compared. Results There was no statistically significant difference in the incidence of agitation and deep sedation between the two groups (P>0.05). The compliance rate of shallow sedation in the observation group was higher than that in the control group, the difference was statistically significant (P<0.05). The mechanical ventilation time, total hospitalization time, and ICU hospitalization time of the observation group were shorter than those of the control group, and the muscle strength score was higher than that of the control group, the differences were statistically significant (P<0.05). The incidences of acquired asthenia and delirium in ICU in observation group were lower than those in control group, with statistically significant differences (P<0.05). Conclusion Early multiple activity nursing combined with EGDS strategy can achieve the goal of shallow sedation, reduce the risk of acquired weakness and delirium in ICU, improve the patients' muscle strength and promote the recovery of patients with multiple injuries caused by mechanical ventilation.
Key wordsMultiple injuries    Mechanical ventilation    Diversified activity nursing    Goal oriented sedation
    
基金资助:[基金项目]江西省卫生健康委科技计划项目(202310580)。
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引用本文:   
王燕玲 王海燕 余丽娜 习苏园 易利波 潘 琦 罗 琛▲. 早期多元化活动护理联合EGDS策略在机械通气多发伤患者中的应用[J]. 中国当代医药, 2024, 31(1): 155-158.
WANG Yanling WANG Haiyan YU Lina XI Suyuan YI Libo PAN Qi LUO Chen▲. Application of early diversified activity nursing combined with EGDS strategy in patients with multiple injuries caused by mechanical ventilation. 中国当代医药, 2024, 31(1): 155-158.
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