Effect of cluster intervention strategy on nursing quality and complication prevention of patients with tracheal intubation in intensive care unit
集束干预策略对重症监护室气管插管患者护理质量及并发症预防的影响

摘要

目的 观察分析对重症监护室气管插管患者实施集束干预策略的临床效果和应用价值。方法 采用回顾性研究方法，选择院内就诊的40例重症监护室气管插管患者（样本纳入例数：40例；样本纳入时间：2022年5月至2024年5月），以随机摸球为基础分组方式，分为对照、实验两个小组，观察例数高度一致。分别实施常规护理，集束干预策略。收集分析护理效果。结果 与对照组（常规护理）相比，实验组（集束干预策略）实验组护理后的恢复所需时间（谵妄持续时间/气管插管通气时间）、住院时间（住 ICU 时间/总住院时间）更短，应激指标（HR/SBP/RPP）更稳定，负性情绪评分（SAS/SDS）更低，护理质量评分（卫生/营养干预/卧位护理/压疮预防/排泄护理/安全管理）、生活质量评分（角色功能/情绪功能/认知功能/社会功能/躯体功能）更高，并发症发生率更低，（P<0.05）。结论 集束干预策略可以有效减少患者恢复所需时间，缩短住院时间减轻经济压力，促进生命体征稳定，避免应激反应，降低并发症发生风险，提高生活质量，有较高应用价值。

Abstract

Objective To observe and analyze the clinical effect and application value of cluster intervention strategy for endotracheal patients in intensive care unit.
Methods In a retrospective study, 40 patients with endotracheal intubation in the hospital were selected (sample inclusion number: 40; sample inclusion time: May 2022 to May 2024) and divided into control and experimental groups with highly consistent observation numbers. Routine care, cluster intervention strategies were implemented separately. Collect and analyze the nursing effect.
Results Compared with the control group (usual care), Experimental group (cluster intervention strategy), shorter recovery time (delusion duration/endotracheal intubation ventilation time), hospital stay (ICU stay/total hospital stay), More stable stress indicators (HR/SBP/RPP), Lower negative emotion score (SAS/SDS), Higher quality of care score (hygiene/nutrition intervention/lying position care/prevention of pressure ulcer/excretion care/safety management), quality of life score (role function/emotional function/cognitive function/social function/somatic function), A much lower rate of complications, (P<0.05).
Conclusion   The cluster intervention strategy can effectively reduce the recovery time needed for patients to recover, shorten the hospital stay, reduce economic pressure, promote the stability of vital signs, avoid stress response, reduce the risk of complications, and improve the quality of life, which has high application value.