在ICU气管插管复苏患者心理护理的临床效果观察

目的 在ICU气管插管患者复苏过程即开始心理护理的临床效果观察.方法 将符合入选条件的气管插管复苏患者60例随机分为对照组和观察组各30例,对照组实施ICU常规护理,观察组在此基础上于患者复苏开始实施心理护理.观察比较两组患者ICUS发生率、各项指标变化情况、撤机及撤机后再次插管情况.结果 观察组ICUS发生率低于对照组,比较差异有统计学意义(P<0.05),两组焦虑、郁闷、恐惧、无奈及绝望等指标比对照组低,比较差异有高度显著性(P<0.01).撤机观察组比对照组多,为12例比9例,撤机后再次插管观察组比对照组少,为3例比6例,但χ2检验差异无显著性(P>0.05),可能与例数太少有关.结论 对ICU气管插管患者进行心理护理,对减少ICUS发生率有效,有利于患者康复.

In the ICU Patients Recovery to Tracheal Intubation on Psychological Nursing of Clinical Effect Observation

Objective In the ICU patients with trachea intubation recovery process,it started to the clinical effect of psychological nursing observation.Methods Will comply with conditions in the tracheal intubation 60 patients were randomly divided into recovery in control and the observation group each 30 cases and control implementation ICU conventional care,the observation group based on the recovery in patients began implementing the psychological care.Study the two groups were ICUS incidence,each index change situation,the ventilator weaning and pulled from the machine again after the situation.Results The observation group ICUS rate lower than those of the control group,more significantly（P 0.05）,two groups of anxiety,depressed,fear,helplessness and despair as indexes than the control group,comparative differences are highly low significantly（P0.01）.Ventilator weaning the observation group more than the control group,12 cases for more than 9 cases,removed after the machine again observe group intubation less than the control group,3 cases of 6 cases for than,but no significant difference x2 inspection（P0.05）,may be too little and number relevant.Conclusion To the ICU patients with trachea intubation psychological nursing,to reduce the incidence ICUS effective,be helpful for patients recover.