综合护理干预措施对预防ICU综合征效果探讨.docVIP

综合护理干预措施对预防ICU综合征效果探讨 　　[摘要] 目的 探讨综合护理干预措施对预防ICU综合征的效果。 方法 选取2012年1月～2012年12月在湖北医药学院附属太和医院ICU住院不超过一周的患者186例，随机分为两组，观察组93例采用综合护理干预措施进行护理，对照组93例采用常规措施进行护理。比较两组患者ICU综合征的发生情况及对ICU护理工作满意情况。 结果 观察组患者ICU综合征发生发生率为21.51%，远低于对照组的发生率（37.63%）。观察组对护理工作的满意度高达94.62%，也高于对照组的满意度（80.65%），差异有统计学意义（P 　　[关键词] ICU综合征；护理；满意度 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-7210（2014）01（c）-0122-03 　　Discussion on the effect of comprehensive nursing interventions on the prevention of ICU syndrome 　　DENG Chunyan1 YANG Baoyi2 GUO Xuezhen1 FANG Min1 WANG Rong1 　　1.Intensive Care Unit， Affiliated Taihe Hospital of Hubei University of Medicine， Hubei Province， Shiyan 442000， China； 2.Department of Nursing， Bengbu Medical College， Anhui Province， Bengbu 233030， China 　　[Abstract] Objective To investigate the effect of comprehensive nursing interventions on the prevention of ICU syndrome. Methods From January 2012 to December 2012， 186 patients hospitalized in ICU of Affiliated Taihe Hospital of Hubei University of Medicine for no more than one week were randomly divided into two groups， 93 cases who adopted the comprehensive nursing intervention in nursing were taken as control group and 93 cases who adopted the conventional measures in nursing were taken as control group. Two groups of patients with ICU syndrome and satisfaction of nursing work were compared. Results The incidence rate of ICU syndrome occurred in observation group was 21.51%， which was much lower than that in control group of 37.63%， but the satisfaction of observation group was as high as 94.62%， which was higher than that in control group of 80.65%， the difference was significant （P 0.05），具有可比性。 　　1.2 方法 　　对照组患者采用常规的护理措施对患者进行护理，包括常规的疾病护理常规、限制性探视制度必要的交流沟通等措施。观察组在此基础上采用综合护理干预措施进行护理，具体包括： 　　1.2.1 促进环境、生理以及心理的舒适 ①改善??房环境，保持室内适宜的温湿度以及病区的整洁、安静，减少一切不必要的干扰。②使用光线柔和的灯光，避免光线直接照向患者的眼睛，为维持患者正常的昼夜节律创造良好的环境。③根据患者病情轻重分开安置患者，特殊情况下尽量使用屏风或床帘将稳定期患者与危重期患者隔开，以减少周围环境对患者带来的不良刺激。④加强基础护理，病情允许的情况下未患者安置相对舒适的体位；对有疼痛、失眠和紧张不安等的患者，遵医嘱给予安全、有效的镇痛剂和镇静剂，以提高患者