护理干预对重症监护室胃肠手术后心血管并发症的影响:危险因素分析。

IF 1.7 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Ling Wang, Peng Yang, Xue-Qing He, Han Xia
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引用次数: 0

摘要

背景:心血管(CV)并发症在胃肠道手术后的重症监护病房(ICU)患者中很常见,并与死亡率增加和住院时间延长相关。术后护理干预的优化,特别是疼痛管理,对于减少此类并发症至关重要。目的:探讨强化康复护理对ICU患者胃肠手术后心血管并发症的影响及相关危险因素。方法:回顾性分析2023年2月至2024年9月在我院ICU行胃肠外科手术的成人患者78例。其中标准护理40例(对照组),强化康复护理38例(观察组)。比较两组患者心血管并发症发生率及护理满意度。根据并发症发生情况将患者分为CV合并症组和非CV合并症组,采用logistic回归分析确定危险因素。结果:对照组和观察组心血管并发症发生率分别为30.0%(12/40)和18.4%(7/38),护理满意率分别为70.0%(28/40)和92.1%(35/38)。观察组术后14 d疼痛评分(0.27±0.15)明显低于对照组(1.65±0.37),差异均有统计学意义(P < 0.05)。单因素分析显示,年龄、体重指数、高血压、糖尿病、吸烟史、心力衰竭史、既往心肌梗死等差异均有统计学意义(P < 0.05)。多因素logistic回归分析发现心衰史、既往心肌梗死、年龄、高血压、糖尿病为独立危险因素,比值比分别为1.195、1.528、1.062、1.836、1.942 (P均< 0.05)。结论:对胃肠道术后ICU患者实施强化康复护理有利于降低心血管并发症发生率,提高护理满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Nursing interventions' impact on cardiovascular complications after gastrointestinal surgery in intensive care unit: Risk factor analysis.

Nursing interventions' impact on cardiovascular complications after gastrointestinal surgery in intensive care unit: Risk factor analysis.

Background: Cardiovascular (CV) complications are common in intensive care unit (ICU) patients after gastrointestinal surgery and are associated with increased mortality and prolonged hospital stay. The optimization of postoperative nursing interventions, particularly pain management, is crucial for reducing such complications.

Aim: To investigate the effects of enhanced recovery nursing on CV complications after gastrointestinal surgery in ICU patients and associated risk factors.

Methods: A retrospective analysis was conducted on 78 adult patients who underwent gastrointestinal surgery in the ICU of our hospital between February 2023 and September 2024. Among them, 40 patients received standard care (control group), while 38 received enhanced recovery nursing (observation group). We compared the incidence of CV complications and nursing satisfaction between the two groups. Patients were divided into CV complication and non-complication groups based on complication occurrence, and logistic regression analysis was used to identify risk factors.

Results: In the control and observation groups, the incidence of CV complications was 30.0% (12/40) and 18.4% (7/38), with a nursing satisfaction rate of 70.0% (28/40) and 92.1% (35/38), respectively. The postoperative pain score at 14 days was significantly lower in the observation group (0.27 ± 0.15) compared to the control group (1.65 ± 0.37), with all differences being statistically significant (P < 0.05). Univariate analysis indicated significant differences in age, body mass index, hypertension, diabetes, smoking history, history of heart failure, and previous myocardial infarction (P < 0.05). Multivariate logistic regression identified heart failure history, previous myocardial infarction, age, hypertension, and diabetes as independent risk factors, with odds ratios of 1.195, 1.528, 1.062, 1.836, and 1.942, respectively (all P < 0.05).

Conclusion: Implementing enhanced recovery nursing for ICU patients after gastrointestinal surgery is beneficial in reducing the incidence of CV complications and improving nursing satisfaction.

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