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

Application of cluster stimulation psychological intervention in the removal of conscious patients with mechanical ventilation in emergency intensive care unit

中文关键词: 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

英文关键词: Cluster stimulating psychological intervention  Emergency  Intensive care unit  Mechanical ventilation  Awakening weaning

中文摘要:

      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月我院重症监护室收治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。

英文摘要:

      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.