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目的：探讨预见性护理在重症监护室老年患者中的临床应用效果。方法随机选取我院2015年8月~2016年6月收治的ICU重症老年患者483例，分为对照组（241例）和观察组（242例）。对照组患者给予常规护理，观察组患者在此基础上增加预见性护理措施，比较两组患者生活质量评分和护理满意情况。结果观察组患者的各项生活质量评分均明显高于对照组，且护理满意情况优于对照组，两组比较，差异均具有统计学意义（P＜0.05）。结论预见性护理可显著提高ICU重症老年患者的生活质量，减少意外事件的发生，提高护理满意情况。“,”Objective: To observe the effect of predictive nursing care in elderly patients with severe disease in ICU. Methods: 483 elderly patients with severe disease in ICU were selected and divided into two groups as the observation group (241 cases) and the control group (242 cases) at random. The control group routine received the conventional nursing, and the observation group was given the predictive nursing care on the basis of that. Scores of quality of living and the nursing satisfactory were compared between two groups.Results: There were significant differences about the living quality and the nursing satisfactory between two groups after the nursing intervention (P<0.05).Conclusion:The predictive nursing care could significantly improve the living quality of elderly patients with severe disease in ICU and the nursing satisfactory of them.