摘要
目的 :通过设计机械通气镇静患者"每日唤醒核查表",以提高护士对唤醒措施的依从性。方法 :于2013年10月至2014年3月,将"每日唤醒核查表"应用于ICU机械通气镇静需要唤醒的患者,观察护士执行唤醒措施的依从性,患者机械通气时间、镇静时间、镇静药物总量。结果 :使用"每日唤醒核查表"后,护士对唤醒措施的依从性及患者镇静药物总量、总镇静时间、机械通气时间、住ICU时间与实施前比较,差异有统计学意义(P<0.05)。结论:应用"每日唤醒核查表",提高了医护人员对唤醒措施的依从性,降低了患者镇静药物的用量,缩短了患者总镇静时间、机械通气时间、住ICU时间,保证了患者安全。此方法简单、可操作性强,医护人员接受程度高。
Objective： To improve the implementation rate of daily awaking by designing daily awaking verification scale. Methods： From October, 2013 to March, 2014, the Daily Awaking（DA） Verification Scale was used in ICU patients with mechanically ventilation and sedation who needed to be waked up. We observed the nurses＇ executive compliance of management measures, duration of mechanical ventilation, duration of sedation, and the total amount of sedative drugs. Results： After the Daily Awaking（DA） Verification Scale was used, the observation indexes, such as the implementation rate of awaking measures, the total amount of sedative drugs, duration of sedation, duration of mechanical ventilation, and ICU stay, were improved significantly（P〈0.05）. Conclusions： By using the Daily Awaking（DA） Verification Scale, we could improve the implementation rate of awaking therapy, reduce the total amount of sedative drugs, shorten the duration of sedation, duration of mechanical ventilation and ICU stay, and ensure the patients＇ medical safety. This method is simple and easy to operate, could be highly accepted by medical staff, and is worthy to be generalized in clinical application.
出处
《中国护理管理》
CSCD
2016年第3期422-427,共6页
Chinese Nursing Management
关键词
每日唤醒核查表
呼吸
人工
镇静
依从性
daily awaking verification scale
respiration
artificial
sedation
compliance
