Effectiveness of sedative and analgesic bundle on delirium and clinical prognosis in mechanically ventilated patients
10.3760/cma.j.issn.1672-7088.2018.15.008
- VernacularTitle:镇静镇痛集束策略对机械通气患者谵妄及临床预后的干预研究
- Author:
Miao MA
1
;
Junling GUO
;
Ni BAI
;
Fuyue SUN
Author Information
1. 武警后勤学院附属医院呼吸与危重症科
- Keywords:
Mechanical ventilation;
Delirium;
Bundles of care strategy;
Sedative and analgesia
- From:
Chinese Journal of Practical Nursing
2018;34(15):1150-1153
- CountryChina
- Language:Chinese
-
Abstract:
Objective To research the intervention effect of the ABCDE Bundle in mechanically ventilated patients. Methods A prospective randomized controlled trail (RCT) was selected 84 mechanically ventilated patients aged 22-45 years in the ICU of respiratory and severe medical center of the affiliated hospital of Logistics University of PAP from January to December in 2016. The research samples were randomly divided into intervention group (n=42) and control group (n=42). Samples were chosen to compare the difference of basic situation, ICU length of stay, 28-day hospital survival rate and the incidence of delirium between the patients of intervention group and control group. Results The average ICU hospitalization time in the intervention group was (11.76± 5.15) days, while that in the control group was (17.64 ± 8.04) days, and the difference between the 2 groups was statistically significant (t=3.99, P<0.01). The 4-week survival rate and delirium incidence rate in intervention group were 90.48％ (38/42) and 66.67％ (28/42) respectively, while those in control group were 71.43％ (30/42) and 40.48％ (17/42) respectively, and the difference between 2 groups was statistically significant (χ2=4.94, 5.79, P<0.05). Conclusion The application of bundles of care strategy could reduce the incidence of delirium and improve the clinical outcome of mechanically ventilated patients.
