Construction and clinical empirical study of modular intervention for mechanical ventilation-dependent patients in ICU
10.3969/j.issn.1005-202X.2023.12.014
- VernacularTitle:ICU机械通气依赖患者模块化干预构建与临床实证
- Author:
Yin HE
1
;
Zunhai HAN
;
Tiantian GAI
;
Zhenhui LU
;
Ying YIN
;
Ying SHI
Author Information
1. 首都医科大学附属北京同仁医院重症医学科,北京 100730
- Keywords:
intensive care unit;
mechanical ventilation-dependent;
modular intervention;
routine intervention;
weaning success rate
- From:Chinese Journal of Medical Physics
2023;40(12):1548-1553
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the construction of modular intervention for patients dependent on mechanical ventilation in ICU,and to conduct the clinical empirical study.Methods A total of 100 mechanical ventilation-dependent patients in ICU were enrolled and divided into two groups according to the admission order,with 50 patients in each group.Control group received routine intervention,while observation group was treated with modular intervention in addition to the treatment given to control group.The weaning success rate,weaning time,complications,rehabilitation index,blood gas analysis index,psychological state,and nutritional status were compared between two groups.Results Compared with control group,observation group had higher weaning success rate,shorter weaning time,ICU stay and general ward admission,and lower incidence of complications(P<0.05).After intervention,observation group had lower PaCO2,and higher PaO2 and PaO2/FiO2 than control group(P<0.05);the scores of SAS,SDS and APACHEⅡwere lower in observation group than in control group(P<0.05);and the serum levels of ALB,PA,TRF and TP in observation group were higher than those in control group(P<0.05).Conclusion Modular intervention for mechanical ventilation-dependent patients in ICU can increase weaning success rate,improve blood gas analysis index and nutritional status,alleviate negative emotions,reduce complications and speed recovery.
