机械通气患者重症监护经验研究

Jinliang Hu, Qing Ye, Chanjuan Ji
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引用次数: 0

摘要

定量分析患者重症监护经历及影响因素。建立数据库,从总体体验指数可以看出,SD维度中,有46.11%的患者有高度不良体验,有86.11%的患者有中度和高度不良体验,加上得分中等的患者;在ET维度上,32.78%的患者有高度不良经历,67.22%的患者有中度和高度不良经历,加上得分中等的患者;在TII维度中,73.88%的患者有中度和高度不良经历。患者的LICU、LMV与总体GEI及各因素评分呈显著正相关(P<0.05),表明机械通气治疗时间越长、ICU住院时间越长,患者不良经历越多;患者APACHE评分与总体GEI、维度ET、ACF、TII呈显著正相关(P<0.05),表明病情越重患者重症监护不良经历越多。机械通气时间、病情严重程度、婚姻状况和年龄是影响机械通气患者重症监护经历的主要因素。
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Research on Intensive Care Experiences of Patients in Mechanical Ventilation
To quantitatively analyse conditions of intensive care experiences and influencing factors of patients. A database was established, it can be seen from the overall experience index that in the SD dimensionality, 46.11% patients have highly bad experiences and 86.11% patients have moderate and highly bad experiences in total plus the patients with moderate scores; in ET dimensionality, 32.78% patients have highly bad experiences and 67.22% patients have moderate and highly bad experiences in total plus the patients with moderate scores; in TII dimensionality, 73.88% patients have moderate and highly bad experiences. LICU and LMV of patients and overall GEI and various factor scores exhibit a significant positive correlation (P<0.05) indicating that the longer the time of mechanical ventilation treatment and length of stay in ICU, the more bad experiences the patients will have; patients' APACHE scores and the overall GEI, dimensionality ET, ACF and TII exhibit a positive correlation (P<0.05) indicating the severer the disease is, the more bad experiences on intensive care the patient will have. Mechanical ventilation duration, disease severity degrees, marital status and age are the major factors influencing intensive care experiences of patients in mechanical ventilation.
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