Application effect of 4R crisis management in patients with mechanical ventilation in intensive care unit

Abstract

Objective To explore the application effect of 4R crisis management in patients with mechanical ventilation in intensive care unit(ICU). Methods 88 patients with mechanical ventilation in ICU were selected as the study subjects, by random number table method they were divided into observation group and control group, 44 cases in each group.The control group was treated with basic nursing intervention, the observation group received 4R crisis management of nursing intervention.After the implementation of different nursing intervention, the incidence of pressure ulcers, prevention effect and nursing satisfaction, crisis event occurrence and the quality of care were compared between the two groups. Results The incidence rate of pressure ulcers of the observation group was 2.27%, effectively preventive rate was 95.45%, the crisis event occurrence rate was 4.55% and nursing satisfaction rate was 97.73%, nursing quality score was (93.78±3.19)points, which were significantly better than those of the control groups[20.45%, 68.18%, 47.73%, 75.00%, (87.91±2.75)points] (χ2=5.53, 9.24, 19.07, 7.82, t=9.25, all P<0.05). Conclusion 4R crisis management nursing intervention can effectively improve the ICU mechanical ventilation patients crisis events, improve the quality of nursing and nursing satisfaction. Key words: Crisis management; Intensive care unit; Mechanical ventilation; Patient