Analysis of the effect of predictive nursing on invasive arterial pressure monitoring in emergency ICU patients
预见性护理在急诊ICU患者应用有创动脉压监测中的应用效果分析

摘要

目的 预见性护理在急诊ICU患者应用有创动脉压监测中的应用效果。方法 选取2021年10月～2023年7月我院急诊ICU的40例患者，随机分为观察组与对照组，每组各20例。对照组行常规护理，观察组行预见性护理，观察两组堵管、局部出血、淤血发生情况，比较两组出入急诊ICU时的收缩压、舒张压变化。结果 观察组给于预见性护理后，仅有1例出现堵管（5%），而对照组出现5例（25%）相关并发症，其中堵管3例（15%），局部出血1例（5%），淤血1例（5%），两组间差异有统计学意义（P＜0.05）；观察组给于预见性护理后，平均收缩压和舒张压分别为（31.79±9.55）mmHg、（22.92±6.16）mmHg，较对照组（16.15±8.35）mmHg、（7.9±4.56）mmHg明显升高，两组间差异有统计学意义（P＜0.05）。结论 对急诊ICU行有创动脉血压监测的患者实施预见性护理，能够有效降低有创动脉血压监测相关并发症的发生，保持治疗过程中血压的稳定，保障患者可以安全地度过危险期。

Abstract

Objective To evaluate the effect of predictive nursing on invasive arterial pressure monitoring in emergency ICU patients.
Methods 40 patients in the emergency ICU of our hospital from October 2021 to July 2023 were randomly divided into observation group and control group, with 20 cases in each group. The control group received routine nursing, the observation group received predictive nursing, the occurrence of tube blockage, local bleeding and congestion between the two groups were observed, and the changes of systolic and diastolic blood pressure were compared between the two groups when they entered and left the emergency ICU.
Results In the observation group, there was only 1 case of tube blockage (5%), while in the control group, there were 5 cases (25%) of related complications, including 3 cases of tube blockage (15%), 1 case of local hemorrhage (5%) and 1 case of congestion (5%), the difference between the two groups was statistically significant (P < 0.05). The systolic blood pressure and diastolic blood pressure in the observation group were (31.79±9.55) mmHg and (22.92±6.16) mmHg, respectively, which were significantly higher than those in the control group (16.15±8.35) mmHg and (7.9±4.56) mmHg, and the difference between the two groups was statistically significant (P < 0.05).
Conclusion   The implementation of predictive nursing for patients with invasive arterial blood pressure monitoring in emergency ICU can effectively reduce the occurrence of complications related to invasive arterial blood pressure monitoring, maintain the stability of blood pressure during treatment, and ensure that patients can safely pass the critical period.