Application of standardized sedation nursing in ICU patients
10.3760/cma.j.cn115682-20210222-00789
- VernacularTitle:标准化镇静护理在ICU患者中的应用
- Author:
Aijun WANG
1
;
Yingtao WU
Author Information
1. 浙江绿城心血管病医院ICU，杭州 310012
- Keywords:
Intensive Care Units;
Standardized sedation nursing;
Sedative effect;
Pain
- From:
Chinese Journal of Modern Nursing
2021;27(26):3600-3603
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of standardized sedation nursing in ICU patients.Methods:Totally 400 patients treated at the ICU in Zhejiang Green Town Cardiovascular Disease Hospital from January to December 2019 were selected by convenient sampling and randomly divided into a control group and an intervention group, with 200 patients in each group. Patients in the control group received routine care, while patients in the intervention group received standardized sedation nursing on the care provided to the control group. The Richmond Agitation-Sedation Scale (RASS) and the Numerical Rating Scale (NRS) were used to compare the sedative effect, pain scores. The incidence of adverse events, the incidence of delirium, length of stay in the ICU, sedative drug dosage, and medical expenses were compared between the two groups.Results:The effective rate of sedation in the intervention group was 92.5% (185/200) , which was higher than 85.5% (171/200) in the control group, and the difference was statistically significant ( P< 0.05) . On the 3rd, 5th day and 1st and 2nd week after the intervention, the NRS scores of the intervention group were lower than those of the control group, and the difference were statistically significant ( P< 0.01) . During the intervention, the incidence of adverse events, the incidence of delirium, length of stay in the ICU, the dose of sedative drugs, and the medical expenses of the intervention group were lower than those of the control group, with statistically significant differences ( P< 0.05) . Conclusions:Standardized sedation nursing can improve the sedative effect of ICU patients, reduce their pain, length of stay in the ICU, sedative drug dosage and hospitalization costs as well as the incidence of adverse events and delirium, which is worth promoting in clinical practice.
