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目的:探讨ICU谵妄患者应用强化护理干预策略的效果,为降低危重患者ICU谵妄发生提供参考。方法:选择医院2013~2014年入住ICU的重症患者198例,根据入住时间顺序分为两组,即实施常规护理的对照组92例和实施强化护理干预的观察组106例,两组均在入院时给予相应的护理干预,由两名护士采用重症监护患者谵妄筛查量表于患者入院后1~2天、入院后3~5天对其谵妄状态进行评价,对两组患者ICU谵妄发生率进行比较,评价应用强化护理干预措施的效果。结果:对照组入院后1~2天ICU谵妄发生率30.40%,入院后3~5天ICU谵妄发生率为38.00%;观察组入院后1~2天ICU谵妄发生率为17.90%,入院后3~5天ICU谵妄发生率为24.50%(P<0.05)。结论:对ICU患者给予强化护理干预,可有效降低谵妄的发生。
Objective: To investigate the effect of intensive nursing intervention in patients with ICU delirium and to provide reference for reducing the incidence of delirium in ICU in critically ill patients. Methods: A total of 198 critically ill patients admitted to the ICU from 2013 to 2014 in the hospital were divided into two groups according to their occupancy time: 92 in the control group receiving routine care and 106 in the intensive care intervention group, both of whom were admitted to the hospital At the same time, nursing interventions were given to two nurses using the Screening Scale for Caregivers of Intensive Care Patients 1 ~ 2 days after admission and 3 ~ 5 days after admission. The incidence of delirium in ICU To compare the effect of applying intensive nursing interventions. Results: In the control group, the incidence of delirium in ICU was 30.40% 1 to 2 days after admission, and the incidence of delirium in ICU was 38.00% 3 to 5 days after admission. The incidence of delirium in ICU was 17.90% within 1 to 2 days after admission, The incidence of delirium in ICU was ~ 5.50% (P <0.05) in ~ 5 days. Conclusion: intensive care intervention in ICU patients can effectively reduce the incidence of delirium.