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目的:探讨强化康复单元(IRCU)护理管理模式对危重症患者康复效果的影响及价值。方法:选取2013年12月~2015年12月收住宁波市鄞州第二医院IRCU的40例危重症患者,回顾性分析其临床资料,均采用强化康复单元护理管理模式进行护理,观察患者的临床康复效果及不良事件、并发症发生情况。结果:40例患者平均住院时间为(22.3±3.1)d。40例患者治疗21d后的残余尿量异常人数低于入IRCU时(P<0.05),且GCS评分高于入IRCU时,差异显著(P<0.05)。40例患者康复护理中均未发生非计划脱管、误吸、泌尿系感染、足下垂、关节僵硬等不良事件及并发症。结论:对危重症患者应用强化康复单元护理管理模式的康复效果良好,安全可靠,可使患者真正受益。
Objective: To investigate the effect and value of intensive care unit (IRCU) nursing management on the rehabilitation of critically ill patients. Methods: From December 2013 to December 2015, 40 critically ill patients admitted to IRCU of Ningbo Yinzhou Second Hospital were enrolled in this study. The clinical data were retrospectively analyzed. All patients were treated with Intensive Rehabilitation Unit (PMU) nursing management mode to observe the clinical Rehabilitation effects and adverse events, the incidence of complications. Results: The average length of stay in 40 patients was (22.3 ± 3.1) days. The residual urine volume of the 40 patients after 21 days of treatment was lower than that of IRCU (P <0.05), and the GCS score was higher than that of IRCU (P <0.05). Forty patients had no unplanned derailment, aspiration, urinary tract infection, ptosis, joint stiffness and other adverse events and complications in the rehabilitation care. Conclusion: The rehabilitation of patients with intensive care unit using intensive care unit management is effective, safe and reliable, and can really benefit patients.