摘要
总结应用ESCAPE集束化措施降低主动脉夹层患者术后谵妄的护理经验.ESCAPE集束化措施:早期活动和锻炼,严密监测生命体征,防止意外事件发生;重视睡眠管理,减少仪器报警、人为因素、环境因素刺激;每日行自主觉醒试验与自主呼吸试验,早日脱机拔管;选择合适的镇静药物,保证患者安静状态;每日评估患者疼痛、精神状态,加强情感交流,鼓励患者家属参与.9个月的ESCAPE集束化措施实施效果显著,降低了主动脉夹层患者术后谵妄发生率,缩短了身体约束时间和入住ICU时间,提高了患者满意度.
To summarize the nursing experience of applying ESCAPE bundles in reducing postoperative delirium in patients with aortic dissection.ESCAPE bundles include early activities and exercise,close monitoring of vital signs to prevent accidents;paying attention to sleep management,reducing instrument alarms,human and environmental factors;daily self-awakening test and spontaneous breathing test,and early extubation;choice of appropriate sedative drugs to ensure the patient’s sedation state;daily assessment of the patient’s pain and mental state,strengthening emotional communication,and encouraging family members of the patient to participate.The implementation of the 9-month ESCAPE bundles has a significant effect,including reducing the incidence of postoperative delirium in patients with aortic dissection,shortening the time of physical restraint and stay in ICU,and improving patient satisfaction.
作者
张帅
陈娟红
富燕萍
姚惠萍
ZHANG Shuai;CHEN Juanhong;FU Yanping;YAO Huiping
出处
《中华急危重症护理杂志》
2020年第4期328-331,共4页
Chinese Journal of Emergency and Critical Care Nursing
基金
浙江省人民医院院级护理科研基金(2018-HLB-001)
关键词
主动脉夹层
谵妄
手术后并发症
重症监护
循证实践
Aortic Dissection
Delirium
Postoperative Complications
Intensive Care
Evidence-Based Practice
