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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

王燕玲 王海燕 余丽娜 习苏园 易利波 潘琦 罗琛

中国当代医药2024,Vol.31Issue(1):155-158,4.
中国当代医药2024,Vol.31Issue(1):155-158,4.

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

Application of early diversified activity nursing combined with EGDS strategy in patients with multiple injuries caused by mechanical ventila-tion

王燕玲 1王海燕 1余丽娜 1习苏园 1易利波 1潘琦 1罗琛1

作者信息

  • 1. 南昌大学第二附属医院综合ICU,江西南昌 330000
  • 折叠

摘要

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 seda-tion 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 hospitaliza-tion 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 inci-dences of acquired asthenia and delirium in ICU in observation group were lower than those in control group,with statisti-cally 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.

关键词

多发伤/机械通气/多元化活动护理/目标导向镇静

Key words

Multiple injuries/Mechanical ventilation/Diversified activity nursing/Goal oriented sedation

分类

医药卫生

引用本文复制引用

王燕玲,王海燕,余丽娜,习苏园,易利波,潘琦,罗琛..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[J].中国当代医药,2024,31(1):155-158,4.

基金项目

江西省卫生健康委科技计划项目(202310580). (202310580)

中国当代医药

1674-4721

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