Application of sedation and analgesia nursing based on comfort and shallow sedation strategy in patients withTracheal intubation after severe brain injury surgery
基于舒适化浅镇静策略的镇静镇痛护理在重症颅脑损伤术后气管插管患者中的应用

摘要

目的 本研究旨在评估基于舒适化浅镇静策略的镇静镇痛护理在重症颅脑损伤术后气管插管患者中 的应用效果。方法 通过对照组和实验组患者进行对比研究。研究中使用焦虑评分量表（如 HADS）评估患者的 焦虑程度，使用疼痛评分量表评估患者的疼痛程度。并记录了插管后的并发症发生率。结果 实验组在插管过程 中的焦虑评分和疼痛评分明显低于对照组（P < 0.05）。此外，实验组的呼吸机相关性肺炎、声带损伤和气胸发生 率明显低于对照组（P < 0.05）。结论 基于舒适化浅镇静策略的镇静镇痛护理能够有效降低重症颅脑损伤术后气 管插管患者的焦虑水平和疼痛程度，同时减少插管后的并发症发生率。

Abstract

Objective This study aims to evaluate the application effect of sedation and analgesia nursing based on comfort and shallow sedation strategy in patients with Tracheal intubation after severe brain injury surgery. Method A comparative study was conducted between the control group and the experimental group of patients. In the study, anxiety rating scales (such as HADS) were used to assess patients' anxiety levels, and pain rating scales were used to assess patients' pain levels. And the incidence of complications after intubation was recorded. Result The anxiety and pain scores of the experimental group during intubation were significantly lower than those of the control group (P<0.05). In addition, the incidence of ventilator-associated pneumonia, vocal cord injury, and pneumothorax in the experimental group was significantly lower than that in the control group (P<0.05).
Conclusion   The sedation and analgesia nursing based on comfort and shallow sedation strategy can effectively reduce the anxiety level and pain level of patients with severe brain injury after Tracheal intubation, and reduce the incidence of complications after intubation.