基于焦点解决模式的护理干预对预防老年脓毒症患者ICU-AW及认知功能障碍的效果

Objective To study and explore the effect of nursing intervention based on solution-focused approach in preventing Intensive Care Unit Acquired Weakness(ICU-AW) and cognitive dysfunction in elderly patients with sepsis. Methods 85 elderly patients with sepsis admitted to our hospital from January 2025 to January 2026 were selected and divided into observation group(n=43) and control group(n=42). The control group received routine nursing intervention, while the observation group adopted nursing intervention based on a solution-focused approach. Results The observation group incidence of ICU-AW was lower than the control group(P<0.05). The observation group Acute Physiology and Chronic Health Evaluation Ⅱ(APACHE Ⅱ) score and Sequential Organ Failure Assessment(SOFA) score were lower than the control group, and Medical Research Council-Sum(MRC) muscle strength score was higher than the control group(P<0.05). The observation group scores of the Montreal Cognitive Assessment(MoCA) and Mini-Mental State Examination(MMSE) were higher than that in the control group(P<0.05). The observation group mechanical ventilation time, ICU admission time, time to start getting out of bed, and hospital stay were shorter than that in the control group(P<0.05). The observation group total score of Generic Quality of Life Inventory-74(GQOLI-74) was higher than that in the control group(P<0.05). Conclusion Nursing intervention based on asolution-focused approach can effectively reduce the incidence of ICU-AW in elderly patients with sepsis, improve muscle strength and cognitive function, promote the rehabilitation process, shorten the mechanical ventilation and ICU hospital stay time, and improve quality of life and nursing satisfaction.