Optimization management of sedation and analgesia during prone ventilation in critically ill patients and its impact on patient comfort and treatment compliance
重症患者俯卧位通气中镇静镇痛的优化管理及对患者舒适度与治疗依从性的影响

摘要

目的 分析重症患者俯卧位通气中镇静镇痛的优化管理对患者舒适度与治疗依从性的应用效果。方法 纳入我院2024年1月-2025年1月内俯卧位通气重症患者62例，采用随机数字表法分为对照组（常规护理）和观察组（加用镇静镇痛优化管理）各31例，对比患者干预前后舒适度变化和治疗依从性。结果 实施干预前两组患者舒适度评分不存在统计学意义（P＞0.05），干预后观察组患者舒适度评分显著高于对照组，差异有统计学意义（P＜0.05）；对比两组治疗依从性显示，观察组总依从率显著高于对照组，组间差异有统计学意义（P＜0.05）。结论 临床中对重症患者俯卧位通气中实施镇静镇痛的优化管理干预能够显著提高患者的舒适度和治疗依从性。

Abstract

Objective To analyze the application effect of optimized management of sedation and analgesia in prone ventilation for critically ill patients on patient comfort and treatment compliance.
Methods Sixty two critically ill patients with prone ventilation in our hospital from January 2024 to January 2025 were included. They were randomly divided into a control group (conventional nursing) and an observation group (optimized management with sedation and analgesia), with 31 patients in each group. The changes in comfort and treatment compliance before and after intervention were compared.
Results There was no statistically significant difference in comfort scores between the two groups of patients before intervention (P>0.05). After intervention, the comfort scores of the observation group were significantly higher than those of the control group, and the difference was statistically significant (P<0.05); Comparing the treatment compliance of the two groups, the total compliance rate of the observation group was significantly higher than that of the control group, and the difference between the groups was statistically significant (P<0.05).
Conclusion   The optimized management intervention of sedation and analgesia during prone ventilation in critically ill patients in clinical practice can significantly improve patient comfort and treatment compliance.