Evaluation of the application of pain and sedation nursing model in ICU patients
ICU患者镇痛镇静护理模式的应用评价

摘要

目的 探讨基于重症监护疼痛观察工具（CPOT）-里士满躁动-镇静量表（RASS）联合多维度个体化镇痛镇静护理模式在ICU患者中的应用效果。方法 选取2023年1月至2025年12月本院ICU收治的120例需镇痛镇静治疗的患者作为研究对象，采用随机数字表法分为对照组和实验组各60例。对照组实施常规镇痛镇静护理，实验组采用CPOT-RASS联合多维度个体化镇痛镇静护理模式，比较两组镇痛镇静达标率、不良反应发生率及患者睡眠质量评分。结果 实验组镇痛镇静达标率显著高于对照组（χ2=7.576，P=0.006）；实验组不良反应发生率显著低于对照组（χ2=6.825，P=0.009）；实验组睡眠质量评分显著高于对照组（t=12.894，P<0.001）。结论 CPOT-RASS联合多维度个体化镇痛镇静护理模式可精准把控ICU患者镇痛镇静深度，提升达标率，降低不良反应风险，改善患者睡眠质量，优化护理效果与患者预后，贴合ICU精准护理发展需求，具有较高的临床推广应用价值。

Abstract

Objective To investigate the efficacy of a multidimensional individualized pain and sedation nursing model based on Critical-Care Pain Observation Tool (CPOT)-Richmond Agitation-Sedation Scale (RASS) in ICU patients.
Methods A total of 120 patients requiring pain and sedation therapy admitted to the ICU of our hospital from January 2023 to December 2025 were selected as the study subjects. They were randomly divided into a control group and an experimental group of 60 cases each using a random number table. The control group received conventional pain and sedation nursing, while the experimental group adopted the CPOT-RASS combined with multidimensional individualized pain and sedation nursing model. The achievement rates of pain and sedation, incidence of adverse reactions, and patient sleep quality scores were compared between the two groups.
Results The achievement rate of pain and sedation in the experimental group was significantly higher than that in the control group (χ2=7.576, P=0.006). The incidence of adverse reactions in the experimental group was significantly lower than that in the control group (χ2=6.825, P=0.009). The sleep quality score in the experimental group was significantly higher than that in the control group (t=12.894, P<0.001).
Conclusion   The CPOT-RASS combined with multidimensional individualized pain and sedation nursing model can precisely control the depth of pain and sedation in ICU patients, improve the achievement rate, reduce the risk of adverse reactions, enhance patient sleep quality, optimize nursing outcomes and patient prognosis, and align with the development needs of precision nursing in ICU. It has high clinical application and promotion value.