中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
14期
1705-1707
,共3页
重症监护病房%早期程序化活动%呼吸机通气
重癥鑑護病房%早期程序化活動%呼吸機通氣
중증감호병방%조기정서화활동%호흡궤통기
Intensive care unit%Early programming activities%Mechanical ventilation
目的：探讨早期程序化活动在ICU患者中的护理效果。方法选择2012年3-6月入住ICU的患者50例，根据随机数字表法分为活动组及对照组，每组25例。对照组患者给予常规护理，活动组患者实施早期程序化活动管理，比较两组患者的呼吸机通气时间、监护室住院时间、总住院时间等指标。结果活动组患者的呼吸机通气时间为（2．4±0．3）d，低于对照组的（3．2±0．5）d，差异有统计学意义（t＝5．182，P＜0．05）；活动组患者的监护室住院时间、总住院时间分别为[（5．2±0．3），（9．6±1．4）]d，对照组为[（5．8±0．3），（8．8±1．2）d]，差异无统计学意义（t值分别为1．013，2．674；P＞0．05）；活动组患者监护室死亡率为8．0％，住院期间死亡率为8．0％，对照组为12．0％，16．0％，差异无统计学意义（χ2值分别为3．873，4．347；P＞0．05）。结论早期程序化活动对减少呼吸机通气时间，减少远期并发症，提高患者的生活质量至关重要。
目的：探討早期程序化活動在ICU患者中的護理效果。方法選擇2012年3-6月入住ICU的患者50例，根據隨機數字錶法分為活動組及對照組，每組25例。對照組患者給予常規護理，活動組患者實施早期程序化活動管理，比較兩組患者的呼吸機通氣時間、鑑護室住院時間、總住院時間等指標。結果活動組患者的呼吸機通氣時間為（2．4±0．3）d，低于對照組的（3．2±0．5）d，差異有統計學意義（t＝5．182，P＜0．05）；活動組患者的鑑護室住院時間、總住院時間分彆為[（5．2±0．3），（9．6±1．4）]d，對照組為[（5．8±0．3），（8．8±1．2）d]，差異無統計學意義（t值分彆為1．013，2．674；P＞0．05）；活動組患者鑑護室死亡率為8．0％，住院期間死亡率為8．0％，對照組為12．0％，16．0％，差異無統計學意義（χ2值分彆為3．873，4．347；P＞0．05）。結論早期程序化活動對減少呼吸機通氣時間，減少遠期併髮癥，提高患者的生活質量至關重要。
목적：탐토조기정서화활동재ICU환자중적호리효과。방법선택2012년3-6월입주ICU적환자50례，근거수궤수자표법분위활동조급대조조，매조25례。대조조환자급여상규호리，활동조환자실시조기정서화활동관리，비교량조환자적호흡궤통기시간、감호실주원시간、총주원시간등지표。결과활동조환자적호흡궤통기시간위（2．4±0．3）d，저우대조조적（3．2±0．5）d，차이유통계학의의（t＝5．182，P＜0．05）；활동조환자적감호실주원시간、총주원시간분별위[（5．2±0．3），（9．6±1．4）]d，대조조위[（5．8±0．3），（8．8±1．2）d]，차이무통계학의의（t치분별위1．013，2．674；P＞0．05）；활동조환자감호실사망솔위8．0％，주원기간사망솔위8．0％，대조조위12．0％，16．0％，차이무통계학의의（χ2치분별위3．873，4．347；P＞0．05）。결론조기정서화활동대감소호흡궤통기시간，감소원기병발증，제고환자적생활질량지관중요。
Objective To explore the effect of early programming activities on clinical nursing in ICU patients.Methods Fifty patients in ICU from March 2012 to June 2012 were chosen and divided into the experimental group and the control group according to the random number table ,each with 25 cases.The control group received the routine nursing , and the experimental group received the management of early programming activities.The time of mechanical ventilation ,hospital stays in ICU,the total of hospital stays and so on were compared between two groups .Results The time of mechanical ventilation was ( 2.4 ±0.3 ) d in the experimental group,and was lower than (3.2 ±0.5) d in the control group,and the difference was statistically significant (t =5.182,P <0.05).The hospital stays in ICU, the total of hospital stays were respectively (5.2 ±0.3),(9.6 ±1.4)d in the experimental group, and were (5.8 ±0.3),(8.8 ±1.2)d in the control group, and the differences were not statistically significant (t=1.013, 2.674,respectively;P>0.05).The mortality rates of patients in ICU and during the hospital were respectively 8%, 8%in the experimental group , and were 12%,16% in the control group,and the differences were not statistically significant (χ2 =3.873, 4.347,respectively;P >0.05).Conclusions Early programming activities are very important to reduce the time of mechanical ventilation , and decrease the incidence of long-term complication,and improve the quality of life of patients.
