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

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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 words： Multiple injuries Mechanical ventilation Diversified activity nursing Goal oriented sedation

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	WANG Yanling WANG Haiyan YU Lina XI Suyuan YI Libo PAN Qi LUO Chen▲

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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[J]. 中国当代医药, 2024, 31(1): 155-158.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2024/V31/I1/155

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