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国际护理学研究

International Journal of Nursing Research

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International Journal of Nursing Research. 2024; 6: (11) ; 10.12208/j.ijnr.20240396 .

Application of analgesic and sedative comfort care in mechanically ventilated patients with severe pneumonia
镇痛镇静舒适化护理在重症肺炎机械通气患者中的应用

作者: 杜娟 *

上海市同仁医院 上海

*通讯作者: 杜娟,单位:上海市同仁医院 上海;

引用本文: 杜娟 镇痛镇静舒适化护理在重症肺炎机械通气患者中的应用[J]. 国际护理学研究, 2024; 6: (11) : 88-90.
Published: 2024/11/23 19:55:48

摘要

目的 本研究旨在探讨镇痛镇静舒适化护理在重症肺炎机械通气患者中的应用效果。方法 通过随机对照试验,将80例重症肺炎机械通气患者分为观察组和对照组,每组40例。观察组接受镇痛镇静舒适化护理管理,对照组接受标准镇痛镇静护理管理。结果 观察组患者的机械通气时间、ICU入住时间、住院治疗时间均显著短于对照组(P<0.05),且镇静、镇痛类药物使用剂量也显著减少(P<0.05)。同时,舒适度评估得分显著高于对照组(P<0.05)。结论 镇痛镇静舒适化护理在重症肺炎机械通气患者中的应用效果显著,有助于缩短治疗时间、减少药物使用剂量,并提高患者的舒适度。

关键词: 重症肺炎;机械通气;镇痛镇静;舒适化护理;舒适度评估

Abstract

Objective The purpose of this study is to investigate the effectiveness of analgesic and sedative comfort care in mechanically ventilated patients with severe pneumonia.
Methods Through randomized control trial, 80 patients with severe pneumonia were divided into observation group and control group with 40 patients. The observation group received comfort care management of analgesic sedation, and the control group received standard analgesic sedation care management.
Results The duration of mechanical ventilation, ICU stay and hospitalization in the observation group were significantly shorter than that of the control group (P <0.05), and the dose of sedative and analgesic drugs was also significantly reduced (P <0.05). Meanwhile, the comfort assessment score was significantly higher than that of the control group (P <0.05).
Conclusion   The application of analgesia and sedative comfort care in mechanically ventilated patients with severe pneumonia is remarkable, which can help to shorten the treatment time, reduce the dose of drugs, and improve the comfort of patients.

Key words: Severe pneumonia; Mechanical ventilation; Analgesia and sedation; Comfort care; Comfort assessment

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