优化镇静镇痛策略指导下程序化护理在重症加强治疗病房机械通气患者中的应用效果

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Abstract Objective To explore the application effect of programmed nursing under the guidance of optimized sedation and analgesia strategy in patients with mechanical ventilation in intensive care unit (ICU).Methods From January 2019 to January 2021,100 patients with mechanical ventilation treated in ICU of Department of Critical Medicine in Yunfu Hospital of Traditional Chinese Medicine,the Second Affiliated Hospital of Guangdong Pharmaceutical University were selected as the research object.They were divided into the study group(50 cases)and the control group(50 cases) according to random number table method.The control group received routine ICU care,the study group used programmed nursing under the guidance of optimized sedation and analgesia strategy.The mechanical ventilation time and ICU nursing time of the two groups were compared,the sedation and analgesia status before the intervention and 3 days after the intervention were observed,and the muscle strength and adverse events (delirium,fall,fall out of bed,unplanned extubation and decrease of blood oxygen saturation) at the end of ICU treatment were recorded.Results The mechanical ventilation time and ICU nursing time of the study group were shorter than those of the control group,and the differences were statistically significant (P＜0.05).The sedation and analgesia scores of the two groups after intervention were lower than those of the control group (P＜0.05),and the sedation and analgesia score of the study group after intervention were lower than those of the control group,the differences were statistically significant (P＜0.05).At the end of ICU treatment,the muscle strength score of Medical Research Committee (MRC) and the incidence of ICU-acquired weakness (ICU-AW) in the study group were significantly lower than those in the control group,the differences were statistically significant (P＜0.05).The total incidence of adverse events in the study group (4.00%) was lower than that in the control group (20.00%),the difference was statistically significant (P＜0.05).Conclusion Programmed nursing intervention under the guidance of optimizing sedation and analgesia strategy can shorten the time of mechanical ventilation,accelerate the speed of coming out of ICU,have better sedation and analgesia,improve muscle strength and reduce the total incidence of adverse events during mechanical ventilation.

Key words： Intensive care unit Mechanical ventilation Optimized sedation and analgesia strategy Programmed nursing

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	Articles by authors
	LIN Zhanqiu
	LUO Xiaoyan
	YU Meiying

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LIN Zhanqiu,LUO Xiaoyan,YU Meiying. Application effect of programmed nursing under the guidance of optimized sedation and analgesia strategy in patients with mechanical ventilation in intensive care unit[J]. 中国当代医药, 2022, 29(7): 172-175转179.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I7/172

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