集束化激励式心理干预在急诊重症监护室机械通气清醒患者撤机中的应用(1)
【摘 要】 目的 ： 分析急诊重症监护室机械通气患者清醒撤机时辅以集束化激励式心理干预的临床应用价值。方法 ： 选取2018年1月至2019年1月本院重症监护室收治的94例机械通气患者为研究对象，对照组单纯辅以常规护理干预，观察组辅以集束化激励式心理干预，比较护理效果。结果 ： 观察组患者一次拔管成功率明显高于对照组，再插管率、病死率均明显低于对照组(P<0.05)。另外，观察组患者机械通气时间(4.21±1.14)d、住ICU病房时间(8.42±0.24)d均较对照组相比更短(P<0.05)。结论 ： 重症ICU病房内机械通气患者清醒后撤机时辅以集束化激励式心理干预效果更佳，可提高一次拔管成功率，降低病死率。
【关键词】 集束化激励式心理干预;急诊;重症监护室;机械通气;清醒撤机
Application of cluster stimulation psychological intervention in the removal of conscious patients with mechanical ventilation in emergency intensive care unit
Zhou Ranran
Emergency Department， Jining First People's Hospital， Jining， Shandong 272000
[Abstract] Objective：To analyze the clinical application value of cluster stimulation psychological intervention in conscious weaning of mechanical ventilation patients in emergency intensive care unit.Methods： A total of 94 patients with mechanical ventilation were enrolled in the intensive care unit of our hospital from January 20 to 2019. The control group was supplemented with routine nursing intervention. The observation group was supplemented with cluster-based incentive psychological intervention to compare the nursing effects.Results： The success rate of one-time extubation in the observation group was significantly higher than that in the control group， and the re-intubation rate and mortality rate were significantly lower than those in the control group (P<0.05). In addition， the duration of mechanical ventilation (4.21±1.14)d and ICU ward (8.42±0.24)d in the observation group were shorter than those in the control group (P<0.05).Conclusion： In ICU， when patients with mechanical ventilation are awake and withdraw from the machine， the effect of combined with cluster psychological intervention is better， which can improve the success rate of the first extubation and reduce the fatality rate.
[Key words] Cluster stimulating psychological intervention; Emergency; Intensive care unit; Mechanical ventilation; Awakening weaning
當前，机械通气是治疗ICU危重症患者一项重要的措施，同时也是维持患者正常呼吸的主要方式，然而，机械通气撤机风险性较高，易引起患者感染并合并其他并发症。在撤机期间，患者的心理情况对撤机的成功率有较大影响，因而需辅以心理干预，确保撤机顺利实施[1]。集束化激励式心理干预是最近几年新兴的心理干预措施之一，效果较佳，可以有效调整患者心态，提高患者依从性。本文作者以2018年1月至2019年1月本院ICU收治机械通气患者94例为对象，分析集束化激励式心理干预的应用价值，具体如下。
1 资料与方法
1.1 一般资料
本次选择2018年1月至2019年1月本院重症监护室收治的94例机械通气患者为研究对象，参照计算机抽选结果分为观察组与对照组。对照组总计患者47例，包括男性26例，女性21例;患者最小年龄25岁，最大年龄72岁，平均年龄(41.4±1.2)岁;其中21例患者为急性脑血管病，8例患者为重症肺炎，11例患者为颅内感染情况，7例患者为其他疾病。观察组总计患者47例，包括男性25例，女性22例;患者最小年龄24岁，最大年龄73岁，平均年龄(411.3±1.1)岁;其中22例患者为急性脑血管病，9例患者为重症肺炎，10例患者为颅内感染情况，6例患者为其他疾病。以统计软件对患者基本资料进行分析，无明显差异(P>0.05)，可对比研究。, http://www.100md.com(周冉冉)
【关键词】 集束化激励式心理干预;急诊;重症监护室;机械通气;清醒撤机
Application of cluster stimulation psychological intervention in the removal of conscious patients with mechanical ventilation in emergency intensive care unit
Zhou Ranran
Emergency Department， Jining First People's Hospital， Jining， Shandong 272000
[Abstract] Objective：To analyze the clinical application value of cluster stimulation psychological intervention in conscious weaning of mechanical ventilation patients in emergency intensive care unit.Methods： A total of 94 patients with mechanical ventilation were enrolled in the intensive care unit of our hospital from January 20 to 2019. The control group was supplemented with routine nursing intervention. The observation group was supplemented with cluster-based incentive psychological intervention to compare the nursing effects.Results： The success rate of one-time extubation in the observation group was significantly higher than that in the control group， and the re-intubation rate and mortality rate were significantly lower than those in the control group (P<0.05). In addition， the duration of mechanical ventilation (4.21±1.14)d and ICU ward (8.42±0.24)d in the observation group were shorter than those in the control group (P<0.05).Conclusion： In ICU， when patients with mechanical ventilation are awake and withdraw from the machine， the effect of combined with cluster psychological intervention is better， which can improve the success rate of the first extubation and reduce the fatality rate.
[Key words] Cluster stimulating psychological intervention; Emergency; Intensive care unit; Mechanical ventilation; Awakening weaning
當前，机械通气是治疗ICU危重症患者一项重要的措施，同时也是维持患者正常呼吸的主要方式，然而，机械通气撤机风险性较高，易引起患者感染并合并其他并发症。在撤机期间，患者的心理情况对撤机的成功率有较大影响，因而需辅以心理干预，确保撤机顺利实施[1]。集束化激励式心理干预是最近几年新兴的心理干预措施之一，效果较佳，可以有效调整患者心态，提高患者依从性。本文作者以2018年1月至2019年1月本院ICU收治机械通气患者94例为对象，分析集束化激励式心理干预的应用价值，具体如下。
1 资料与方法
1.1 一般资料
本次选择2018年1月至2019年1月本院重症监护室收治的94例机械通气患者为研究对象，参照计算机抽选结果分为观察组与对照组。对照组总计患者47例，包括男性26例，女性21例;患者最小年龄25岁，最大年龄72岁，平均年龄(41.4±1.2)岁;其中21例患者为急性脑血管病，8例患者为重症肺炎，11例患者为颅内感染情况，7例患者为其他疾病。观察组总计患者47例，包括男性25例，女性22例;患者最小年龄24岁，最大年龄73岁，平均年龄(411.3±1.1)岁;其中22例患者为急性脑血管病，9例患者为重症肺炎，10例患者为颅内感染情况，6例患者为其他疾病。以统计软件对患者基本资料进行分析，无明显差异(P>0.05)，可对比研究。, http://www.100md.com(周冉冉)