人文关怀理念在ICU机械通气患者镇痛镇静的护理实践

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Abstract Objective To explore the application method and effect of humanistic care concept in analgesia and sedation of ICU patients with mechanical ventilation.Methods A total of 64 patients with mechanical ventilation in ICU of People′s Hospital of Hezhou City from January to December 2018 were selected as the control group,and 69 patients with mechanical ventilation in ICU of People′s Hospital of Hezhou City from January to December 2019 were selected as the study group.The control group was given routine nursing and analgesia sedation nursing,while the study group was given humanistic care concept on the basis of routine nursing.The dosage of analgesic and sedative drugs,sleep quality(RCSQ),duration of mechanical ventilation,length of ICU stay and the incidence of delirium were compared between the two groups.Results The average daily dose and the total dose of Fentanyl and Dexmedetomidine in the study group were lower than those in the control group,and the differences were statistically significant(P＜0.01).The scores of sleep depth,difficulty of falling asleep,times of awakening,difficulty of falling asleep again and overall sleep quality of the study group were higher than those of the control group,and the differences were statistically significant(P＜0.05).There was no significant difference in mechanical ventilation time between the two groups(P＞0.05).The length of ICU stay in the study group was shorter than that in the control group,and the difference was statistically significant(P＜0.05).The incidence of delirium in the study group was lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion The application of humanistic care concept in ICU patients with mechanical ventilation can reduce the dosage of analgesic and sedative drugs,improve sleep quality,reduce the incidence of delirium,and shorten the length of ICU stay.

Key words： Humanistic care concept ICU Mechanical ventilation Analgesia and sedation Sleep quality Delirium Length of ICU stay

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	LI Miao
	XIE Bi-zhan

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LI Miao,XIE Bi-zhan. Nursing practice of humanistic care concept in analgesia and sedation of ICU patients with mechanical ventilation[J]. 中国当代医药, 2021, 28(15): 269-273.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I15/269

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