Analysis of the value of anticipatory care versus routine care for the care of critically ill patients in the ICU
预见性护理与常规护理对ICU重症患者护理的价值分析

摘要

目的 探讨预见性护理与常规护理在重症监护室（ICU）重症患者护理中的应用价值。方法 选择2019年10月至2021年12月我院ICU收治的重症患者76例，按随机数字表法分为两组，各38例。对照组实施常规护理，观察组实施预见性护理。于患者转出ICU后进行护理效果评价。结果 护理前，两组焦虑自评量表（SAS）、抑郁自评量表（SDS）评分、舒适度、生活质量评分比较，差异无统计学意义（P＞0.05）；护理后，观察组SAS、SDS评分低于对照组，舒适度高于对照组，健康状况调查简表（SF-36）中躯体功能、心理功能、社会功能及物质生活等维度评分均高于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率低于对照组，护理总满意度高于对照组，差异有统计学意义（P＜0.05）。结论 预见性护理在ICU重症患者中的应用价值较高，能够改善患者心理状态及舒适状态，降低并发症率，促进生活质量提升。

Abstract

Objective: To explore the application value of predictive nursing and routine nursing in the nursing of severe patients in intensive care unit (ICU).
Methods: 76 critically ill patients treated in ICU of our hospital from October 2019 to December 2021 were randomly divided into two groups with 38 cases in each group. The control group received routine nursing and the observation group received predictive nursing. The nursing effect was evaluated after the patient was transferred out of ICU.
Results: before nursing, there was no significant difference in the scores of self rating Anxiety Scale (SAS), self rating Depression Scale (SDS), comfort and quality of life between the two groups (P>0.05); After nursing, the scores of SAS and SDS in the observation group were lower than those in the control group, and the comfort was higher than that in the control group. The scores of physical function, psychological function, social function and material life in the short form of Health Survey (SF-36) were higher than those in the control group (P<0.05); The incidence of complications in the observation group was lower than that in the control group, and the total satisfaction of nursing was higher than that in the control group (P<0.05).
Conclusion  : predictive nursing has high application value in ICU severe patients. It can improve patients' psychological state and comfortable state, reduce the rate of complications and promote the improvement of quality of life.