Research progress on nursing monitoring for analgesia and sedation in critically ill patients
危重症患者镇痛镇静治疗的护理监测研究进展

摘要

目的 探究精细化分层护理监测模式在危重症患者镇痛镇静治疗中的应用效能。方法 选取2024年8月至2025年10月我院重症医学科收治的96例接受镇痛镇静治疗的危重症患者为研究对象，采用随机数字表法分为对照组与实验组，每组各48例。对照组实施常规护理监测，实验组实施精细化分层护理监测。结果 实验组镇痛镇静达标率、护理质量评分显著高于对照组，不良反应发生率显著低于对照组，差异均有统计学意义（χ2=8.236，P=0.004；t=7.158，P=0.000；χ2=7.329，P=0.007）。结论 精细化分层护理监测可精准把控危重症患者镇痛镇静状态，提升监测精准度与护理质量，有效降低不良反应风险，提高治疗达标率，为危重症患者镇痛镇静治疗的护理监测提供创新思路与科学依据，具有重要临床应用价值。

Abstract

Objective To investigate the application efficacy of a refined stratified nursing monitoring model in analgesia and sedation therapy for critically ill patients.
Methods A total of 96 critically ill patients receiving analgesia and sedation therapy in the Department of Critical Care Medicine from August 2024 to October 2025 were selected as study subjects. They were randomly divided into a control group and an experimental group using a random number table, with 48 cases in each group. The control group received routine nursing monitoring, while the experimental group received refined stratified nursing monitoring.
Results The experimental group showed significantly higher rates of analgesia and sedation compliance and nursing quality scores compared to the control group, with significantly lower incidence of adverse reactions. All differences were statistically significant (χ2=8.236, P=0.004; t=7.158, P=0.000; χ2=7.329, P=0.007).
Conclusion   Refined stratified nursing monitoring can accurately monitor the analgesia and sedation status of critically ill patients, improve monitoring precision and nursing quality, effectively reduce the risk of adverse reactions, and enhance treatment compliance rates. This provides innovative insights and scientific evidence for nursing monitoring in analgesia and sedation therapy for critically ill patients, demonstrating significant clinical application value.