Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2026; 5: (5) ; 10.12208/j.jacn.20260237 .
总浏览量: 59
宁夏医科大学总医院 宁夏银川
*通讯作者: 李雅蕾,单位:宁夏医科大学总医院 宁夏银川; ;
目的 分析在ICU重症患者护理管理中应用预见性护理的临床效果及对并发症的影响。方法 选择2023年9月-2024年9月ICU收治的82例重症患者为研究对象,采用信封法随机分为对照组(n=41)和研究组(n=41),分别予常规护理和预见性护理,比较两组临床指标、并发症发生率。结果 研究组APACHE II评分低于对照组,机械通气时间、ICU住院时间、生命体征稳定时间均显著低于对照组(P<0.05);研究组并发症发生率较对照组明显降低(P<0.05)。结论 在ICU重症患者中应用预见性护理,能有效降低患者疾病严重程度,缩短机械通气时间、ICU住院时间及生命体征稳定时间,显著降低并发症发生率,值得在临床推广。
Objective To analyze the clinical effect of predictive nursing in the nursing management of critically ill patients in the ICU and its impact on complications. Methods A total of 82 critically ill patients admitted to the ICU from September 2023 to September 2024 were selected as the research subjects. They were randomly divided into the control group (n=41) and the study group (n=41) by the envelope method. They were respectively given routine care and predictive care. The clinical indicators and complication rates of the two groups were compared. Results The APACHE II score of the study group was lower than that of the control group, and the mechanical ventilation time, ICU stay time, and stable vital signs time of the study group were all significantly lower than those of the control group (P<0.05). The incidence of complications in the study group was significantly lower than that in the control group (P<0.05). Conclusion The application of predictive nursing in critically ill patients in the ICU can effectively reduce the severity of the disease, shorten the duration of mechanical ventilation, ICU stay and the time of stable vital signs, and significantly reduce the incidence of complications. It is worthy of clinical promotion.
[1] 候彬彬. 基于循证的预见性护理对ICU重症机械通气患者的呼吸道感染的预防效果 [J]. 航空航天医学杂志, 2025, 36 (04): 477-479.
[2] 张燕梅. 基于APACHEⅡ评分系统的预见性护理对重症监护室患者心理状态及睡眠的影响分析 [J]. 医学理论与实践, 2024, 37 (12): 2110-2112.
[3] 张静,侯延菊,张春丽,等. 预见性护理服务模式对ICU重症患者护理效果与并发症的影响分析 [J]. 中外医疗, 2024, 43 (12): 170-173.
[4] 闫刘超. 预见性护理干预对重症监护室危重患者压疮的预防效果分析 [J]. 婚育与健康, 2024, 30 (04): 157-159.
[5] 李豆敏,韩静. 预见性护理与常规护理应用于ICU重症患者护理中的临床效果对比 [J]. 贵州医药, 2023, 47 (12): 1983-1984.
[6] 郭彦军,王海播. 集束化预见性护理在ICU重症患者感染控制中的应用效果 [J]. 护理实践与研究, 2023, 20 (13): 1911-1915.
[7] 陈祥燕,陈祥莺,陈兰兰. 预见性护理在ICU重症颅脑损伤合并糖尿病患者皮肤及血糖管理中的应用研究 [J]. 糖尿病新世界, 2022, 25 (20): 157-160.
[8] 徐萌萌,王婷婷. 人性化护理结合预见性护理干预在神经内科ICU重症患者预防院内感染中的作用 [J]. 航空航天医学杂志, 2022, 33 (08): 988-991.