Optimization of nursing process and implementation effect analysis of ICU patient position adjustment under multi tube coexistence state
多管共存状态下ICU患者体位调整的护理流程优化与实施效果分析

摘要

目的 旨在探讨多管共同存在状态下，实施优化ICU患者体位调整护理流程后的实际效果，提升护理质量水平，降低并发症发生率。方法 选取2024年1 - 12月某三甲医院ICU收治的120例多管共存患者，随机把对象分为对照组与观察组，对照组按照常规体位调整护理流程操作，观察组在对照基础上采用优化的护理流程，将两组患者的压疮发生率、导管相关并发症发生率、护理满意度及体位调整操作时间进行对比。结果 观察组压疮发生的概率是3.3%，大大低于对照组呈现出的13.3%；导管相关并发症的发生率为5.0%，比对照组的15.0%明显要低；实现护理满意度96.7%，较之对照组的83.3%为高；平均体位调整操作时间为12.5±2.3分钟，显著少于对照组的18.7±3.1分钟。结论 对ICU多管共存患者的体位调整护理流程开展优化工作，可高效降低并发症的出现概率，具有操作性强、可评估、可重复的特点,可在临床中应用。

Abstract

Objective This study aims to explore the practical effects of optimizing the ICU patient position adjustment nursing process under the coexistence of multiple channels, improve nursing quality, and reduce the incidence of complications.
Methods 120 patients with multiple tube coexistence admitted to the ICU of a tertiary hospital from January to December 2024 were randomly divided into a control group and an observation group. The control group underwent routine posture adjustment nursing procedures, while the observation group adopted optimized nursing procedures based on the control group. The incidence of pressure ulcers, catheter-related complications, nursing satisfaction, and posture adjustment operation time of the two groups of patients were compared.
Results The probability of pressure ulcers occurring in the observation group was 3.3%, significantly lower than the 13.3% observed in the control group; The incidence of catheter-related complications was 5.0%, significantly lower than the control group's 15.0%; The nursing satisfaction rate was 96.7%, which was higher than the control group's 83.3%; The average adjustment time for body position was 12.5 ± 2.3 minutes, significantly less than the control group's 18.7 ± 3.1 minutes.
Conclusion   Optimizing the position adjustment nursing process for ICU patients with multiple tube coexistence can effectively reduce the probability of complications. It has the characteristics of strong operability, evaluability, and repeatability, and can be applied in clinical practice.