镇静镇痛集束化护理策略对脑创伤后机械通气患者谵妄的影响

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Abstract Objective To evaluate the effect of cluster-based nursing strategies for sedation and analgesia on delirium in patients on mechanical ventilation after traumatic brain injury.Methods Ninety patients with traumatic brain injury who were transferred to the ICU between April 2017 and April 2018 and received mechanical ventilation were selected using the convenient sampling method. They were given routine nursing and cluster-based sedation and analgesia nursing. Another 90 patients on mechanical ventilation after traumatic brain injury were treated with routine nursing as control group. Age, sex, length of ICU stay, APACHE Ⅱ score, the incidence of delirium, duration of mechanical ventilation, types and duration of delirium were recorded.Results There was no significant difference in age, sex, duration of mechanical ventilation and APACHE Ⅱ score between the two groups (P>0.05). The length of ICU stay in the intervention group was significantly shorter than that in the control group [(12.86±3.24)d vs (16.24±2.63)d, P<0.05]. Compared with the control group, the number of cases of delirium in the intervention group was significantly reduced (52% vs 66%, P<0.05), and the duration of delirium was significantly shorter [(3.27±0.59)d vs (4.79±0.52)d, P<0.05]. There was no significant difference in the types of delirium (P>0.05).Conclusions Cluster-based nursing for sedation and analgesia can effectively shorten the duration of delirium in patients on mechanical ventilation after traumatic brain injury, and reduce the incidence of delirium and ICU stay.

Key words： cluster-based sedation and analgesia delirium mechanical ventilation traumatic brain injury

Received: 09 January 2019

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	Articles by authors
	GUO Shanshan
	ZHANG Dan
	YE Qi
	LI Na
	ZHU Chenghong
	SONG Xupeng
	TU Yue
	PANG Xipeng

Cite this article:

GUO Shanshan,ZHANG Dan,YE Qi等. Effect of cluster-based nursing strategy for sedation and analgesia on delirium in patients on mechanical ventilation after traumatic brain injury[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(7): 615-618.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2019/V30/I7/615

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