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目的探讨预见性护理与常规护理在重症监护病房(ICU)重症患者中的应用价值比较。方法将88例ICU重症患者随机分为观察组44例应用预见性护理模式,对照组44例行常规护理,比较两组患者ICU感染发生率、住院时间、护理满意度及心理状态。结果观察组患者ICU感染发生率是6.8%,护理满意度是93.2%,平均住院时间是(15.2±1.8)d,抑郁自评量表(SDS)、焦虑自评量表(SAS)评分分别是(26.3±1.6)分、(29.9±1.9)分;对照组ICU感染发生率是22.7%,护理满意度是65.9%,平均住院时间是(19.8±2.5)d,SDS评分、SAS评分分别是(31±3)分、(35.0±2.5)分;两组患者ICU感染发生率、护理满意度、平均住院时间以及SDS评分、SAS评分组间比较差异均有统计学意义(均P<0.05)。结论对ICU重症患者实施预见性护理,可明显减少ICU感染事件发生,减轻患者抑郁、焦虑等不良情绪,加速其康复进程,并提升其护理满意度。
Objective To explore the value of prospective and routine care in intensive care unit (ICU) critically ill patients. Methods A total of 88 ICU critically ill patients were randomly divided into observation group (44 cases) and control group (44 cases). The incidence of ICU infection, hospitalization time, nursing satisfaction and psychological status were compared between the two groups. Results The incidence of ICU infection in the observation group was 6.8%, satisfaction with nursing was 93.2%, average length of stay was (15.2 ± 1.8) days, self-rating depression scale (SDS) and anxiety self-rating scale (26.3 ± 1.6) and (29.9 ± 1.9) points, respectively. The incidence of ICU infection in control group was 22.7%, nursing satisfaction was 65.9% and average length of hospital stay was (19.8 ± 2.5) days. SDS score and SAS score were 31 ± 3) and (35.0 ± 2.5) points respectively. The incidence of ICU infection, nursing satisfaction, average length of hospital stay, SDS score and SAS score of the two groups were significantly different (all P <0.05). Conclusions The implementation of predictive nursing care for critically ill patients with ICU can significantly reduce the incidence of ICU infection, alleviate the depression, anxiety and other negative emotions, speed up the recovery process and enhance their satisfaction with nursing care.