Effect analysis of monitoring and nursing care of RICU patients with invasive arterial blood pressure
RICU危重症患者有创动脉血压监测护理的效果分析

摘要

目的 探讨有创动脉血压监测在呼吸与危重症科（RICU）危重症患者护理中的应用效果。方法 选取2024年10月至2025年1月期间，以我院RICU接收的34名危重症病人为本次研究的样本，所有患者均接受有创动脉血压监测。将其按随机分组方法分为对照组（17例，接受常规护理）和观察组（17例，接受针对性护理）。之后，对比并评估了两组在干预前后的血压状况、不良事件出现频率以及护理满意程度。结果 经过干预后，两组病人的舒张压（DBP）、收缩压（SBP）及平均动脉压（MAP）均呈现上升趋势，进一步对比发现，观察组患者在干预后的DBP、SBP、MAP水平相较于对照组均表现出更高的水平（P<0.05）。相较于对照组，观察组患者不良事件发生率更低，而在护理满意度上则呈现出更高的水平（P<0.05）。结论 对RICU的危重症患者采用有创动脉血压监测并进行相应的护理干预，取得了显著成效，有助于稳定患者的动脉血压，减少不良事件的发生，提高患者及其家属对护理的满意度。有较高应用价值。

Abstract

Objective To investigate the effect of invasive arterial blood pressure monitoring in the nursing of critically ill patients in the Department of Respiratory and Critical Care (RICU).
Methods Selecting 34 critically ill patients admitted to our RICU from October 2024 to January 2025 as the sample for this study, all patients underwent invasive arterial blood pressure monitoring. They were randomly divided into a control group (17 cases, receiving routine care) and an observation group (17 cases, receiving targeted care). Afterwards, the blood pressure status, frequency of adverse events, and nursing satisfaction of the two groups before and after intervention were compared and evaluated.
Results After intervention, the diastolic blood pressure (DBP), systolic blood pressure (SBP), and mean arterial pressure (MAP) of both groups of patients showed an upward trend. Further comparison revealed that the observation group had higher levels of DBP, SBP, and MAP compared to the control group after intervention (P<0.05). Compared to the control group, the observation group had a lower incidence of adverse events and showed a higher level of nursing satisfaction (P<0.05).
Conclusion   The use of invasive arterial blood pressure monitoring and corresponding nursing interventions for critically ill patients at RICU has achieved significant results, helping to stabilize the patient's arterial blood pressure, reduce the occurrence of adverse events, and improve the satisfaction of patients and their families with nursing care. Has high application value.