Effect of grading nursing care based on Riker sedation-agitation scale scoring on the complications of patients with agitation in neurosurgical ICU

Abstract

Objective To discuss the evaluation method of intervention for patients with agitation in neurosurgical ICU .Methods Totals of 106 patients with agitation were randomly divided into the observation group （n=51） and the control group （n=55）.The control group received conventional nursing , while the observation group adopted grading nursing care based on Riker sedation-agitation scale （ SAS ） scoring. Complications including unplanned extubation , fall, skin damage and rupture of aneurysm were compared between two groups .Results There was one case of unplanned extubation , zero fall, one case of skin damage , zero rebleeding and zero rupture of aneurysm in the observation group , and eight cases of unplanned extubation , six falls, seven cases of skin damage , five cases of rebleeding and four cases rupture of aneurysm in the control group, and the differences were statistically significant （χ2 =5.39,5.90,4.40,4.87,3.85, respectively;P〈0.05）.Conclusions Application of Riker SAS scoring system in patients with agitation in neurosurgical ICU can reduce the incidence of complications . Key words: Intensive care units （ ICU ） ; Agitation ; Riker sedation-agitation scale scoring ; Complication; Grading nursing care