Application effect of ICU nurses-led procedural sedation and analgesia in critically ill patients after liver transplantation
10.3760/cma.j.cn115682-20210802-03417
- VernacularTitle:ICU护士主导的程序化镇痛镇静方案在肝移植术后重症患者中的应用效果评价
- Author:
Jing TANG
1
;
Lulu LYU
Author Information
1. 首都医科大学附属北京朝阳医院SICU，北京 100020
- Keywords:
Analgesia;
Sedation;
Intensive Care Unit;
Mechanical ventilation
- From:
Chinese Journal of Modern Nursing
2022;28(7):930-935
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of ICU nurses-led procedural sedation and analgesia (PSA) regimen in critically ill patients after liver transplantation.Methods:Using the convenient sampling method, a total of 140 critically ill patients after liver transplantation who were admitted to the surgical ICU of Beijing Chaoyang Hospital from January to December 2019 were selected as the research objects. According to the random number table method, the patients were divided into the experimental group and the control group, with 70 cases in each group. The control group was given routine analgesia and sedation, while the experimental group was given a self-designed PSA program on the basis of the control group. The dosage of analgesic and sedative drugs, incidence of complications, length of mechanical ventilation and length of ICU stay in 2 groups were recorded and compared.Results:The per capita dose of analgesic and sedative drugs in the experimental group was lower than that in the control group, and the difference was statistically significant ( P<0.01) . The duration of mechanical ventilation, the duration of ICU stay and the incidence of delirium in the experimental group were lower than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The use of PSA in critically ill patients after liver transplantation can reduce the dosage of sedative and analgesic drugs, shorten the duration of mechanical ventilation and ICU stay and reduce the incidence of delirium.
