Influence of team-based early rehabilitation nursing on prevention of ICU syndrome and prognosis in critically ill mechanically ventilated patients
团队式早期康复护理对预防危重症机械通气患者ICU综合征及预后的影响

摘要

目的 分析探讨团队式早期康复护理对危重症机械通气患者ICU综合征的预防效果和对患者预后效果的影响。方法 采用抽样调查方法选取研究对象，抽样时间为2021年1月到2022年1月，抽样对象为在此期间我院收治的危重症机械通气患者，抽样数量为60，将其中30例患者纳入对照组，剩余30例纳入研究组，分别对两组患者实施常规护理和团队式早期康复护理，对比两组护理效果。结果 在各自接受了不同的护理后，两组患者的身心状态都有一定的改善和提升，尤其是研究组，患者在接受护理后身体恢复效果显著，其ICU综合征发生率显著低于对照组（P＜0.05）；同时，经过护理后，两组患者的心理状态都明显改善，负面情绪得到缓解，但相对而言，研究组患者的SAS评分、SDS评分均低于对照组（P＜0.05）；两组患者生活质量呈现出直线上升的趋势，但研究组的生活质量与对照组相比更胜一筹（P＜0.05）。结论 对危重症机械通气患者实施团队式早期康复护理能够有效预防ICU综合征的发生，对患者身体各方面状态进行改善，缓解患者的负面情绪，促进患者生活质量提升。

Abstract

Objective To analyze the preventive effect of team-based early rehabilitation nursing on ICU syndrome in critically ill mechanically ventilated patients and the effect on the prognosis of patients.
Methods: The research subjects were selected by the sampling survey method. The sampling time was from January 2021 to January 2022. The sampling subjects were critically ill mechanical ventilation patients admitted to our hospital during this period. The sampling number was 60, and 30 of them were included in the study. In the control group, the remaining 30 cases were included in the research group, and the two groups of patients were given routine care and team-based early rehabilitation care, respectively, and the nursing effects of the two groups were compared.
Results: After each received different nursing care, the physical and mental states of the two groups of patients were improved to a certain extent, especially in the research group, the patients' physical recovery effect after receiving nursing was significant, and the incidence of ICU syndrome was significantly lower than the control group group (P<0.05); at the same time, after nursing, the psychological states of the two groups of patients were significantly improved, and their negative emotions were relieved, but relatively speaking, the SAS and SDS scores of the patients in the study group were lower than those in the control group (P<0.05). 0.05); the quality of life of the two groups showed a linear upward trend, but the quality of life of the study group was better than that of the control group (P<0.05).
Conclusion  : Implementing team-based early rehabilitation nursing for critically ill mechanically ventilated patients can effectively prevent the occurrence of ICU syndrome, improve all aspects of the patient's physical state, relieve the patient's negative emotions, and promote the improvement of the patient's quality of life.