关键词: 集束化策略, 机械通气, 谵妄, 重症患者, 护理

Abstract:

Objective To implement and evaluate application effects of ABCDEF bundle care in mechanically ventilated patients in intensive care unit（ICU）. Methods The prospective randomized trial was conducted in ICU of our hospital from December 2017 and March 2019 in 70 mechanically ventilated ICU patients. Patients meeting inclusion criteria were randomly allocated into an observation group（n=35） and a control group（n=35）. The control group received the conventional treatment,while the observation group was implemented with ABCDEF bundle care. The duration of intervention lasted 10 days. The incidences of delirium,duration of mechanical ventilation,the dosage of sedatives and analgesics,the unplanned extubation rate,mortality,the length of ICU stay,and expenses were analyzed and compared in 2 groups. Results The outcomes in the observation group were associated with lower likelihood（P＜0.05） of 5 outcomes,namely incidence of delirium,duration of mechanical ventilation,the dosage of sedatives and analgesics length of ICU stay,and expenses. There were no significant differences in unplanned extubation rate,mortality between 2 groups（P＞0.05）. Conclusion ABCDEF bundle care showed clinically significant and meaningful improvements in outcomes including delirium,duration of mechanical ventilation,the dosage of sedatives and analgesics. It improved prognosis of ventilated ICU patients. ABCDEF bundle provides a safe,effective,economical and feasible strategy for ICU patients with mechanical ventilation.

Key words: Bundle Care, Mechanical Ventilation, Delirium, Critical Patients, Nursing Care