Comparison of programmed sedation care with conventional care in patients receiving mechanical ventilation for acute respiratory failure.

IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Irish Journal of Medical Science Pub Date : 2025-02-01 Epub Date: 2024-10-14 DOI:10.1007/s11845-024-03825-z
Jiantang Wang, Yuntao Li, Yujuan Han, Xinyu Yuan
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Abstract

Objective: The aim of this study is to evaluate the effectiveness of planned sedation therapy in comparison to standard care for patients receiving mechanical ventilation for acute respiratory failure (ARF).

Method: The research included a total of sixty individuals who underwent mechanical ventilation for acute respiratory failure (ARF). Utilizing the random number table method, these patients were randomized at random to either the planned sedation care group (Group PSC) or the conventional care group (Group C). The objective was to assess and contrast the impact of treatment on the two groups. Significantly shorter durations of mechanical ventilation, sedative use, ICU therapy, length of stay, incidence of delirium, and adverse events were observed in Group PSC compared with Group C (P < 0.05). A higher 1-month survival rate following mechanical ventilation, a higher post-intervention forced expiratory volume in one second (FEV1) as a percentage of the expected value, a higher post-intervention forced vital capacity (FVC), and a higher patient family care satisfaction rate were observed in Group PSC compared to Group C (P < 0.05).

Conclusion: The scheduled administration of sedative therapy in patients receiving mechanical ventilation for acute respiratory failure (ARF) offers significant, reliable, and effective therapeutic benefits.

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对接受机械通气治疗的急性呼吸衰竭患者进行程序镇静护理与常规护理的比较。
研究目的本研究旨在评估计划镇静疗法与标准护理相比,对接受机械通气治疗的急性呼吸衰竭(ARF)患者的效果:研究对象包括六十名因急性呼吸衰竭(ARF)而接受机械通气的患者。利用随机数字表法,这些患者被随机分配到计划镇静护理组(PSC 组)或常规护理组(C 组)。目的是评估和对比治疗对两组患者的影响。与 C 组相比,PSC 组的机械通气时间、镇静剂使用时间、重症监护室治疗时间、住院时间、谵妄发生率和不良事件发生率均显著缩短(P 结论:PSC 组与 C 组的镇静剂使用时间、重症监护室治疗时间、住院时间、谵妄发生率和不良事件发生率均显著缩短:对接受机械通气治疗的急性呼吸衰竭(ARF)患者按计划给予镇静剂治疗具有显著、可靠和有效的治疗效果。
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来源期刊
Irish Journal of Medical Science
Irish Journal of Medical Science 医学-医学:内科
CiteScore
3.70
自引率
4.80%
发文量
357
审稿时长
4-8 weeks
期刊介绍: The Irish Journal of Medical Science is the official organ of the Royal Academy of Medicine in Ireland. Established in 1832, this quarterly journal is a contribution to medical science and an ideal forum for the younger medical/scientific professional to enter world literature and an ideal launching platform now, as in the past, for many a young research worker. The primary role of both the Academy and IJMS is that of providing a forum for the exchange of scientific information and to promote academic discussion, so essential to scientific progress.
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