急性心肌梗死患者并发谵妄的影响因素分析和护理

Influencing Factors of Delirium in Patients with Acute Myocardial Infarction and Nursing

目的探讨急性心肌梗死患者并发谵妄的影响因素,为护士进行预见性评估、制定护理措施提供依据。方法回顾急性心肌梗死病例资料407例,其中发生谵妄41例,将其设为谵妄组,随机抽取无谵妄症状急性心肌梗死病例41例设为无谵妄组并与之对比,采用单因素和多因素Logistic回归分析法分析诱发谵妄的危险因素。结果经Logistic回归分析,筛选出年龄>65岁、院外心肺复苏史、经皮血氧饱和度低于85%、合并低钾血症是急性心肌梗死患者并发谵妄的独立危险因素(P<0.05)。结论护士应加强对老年、有院外心肺复苏史、经皮血氧饱和度低于85%及合并低钾血症的急性心肌梗死患者的护理观察,制定相应的护理干预措施,防止并发谵妄。

Objective To explore the influencing factors of delirium in patients with acute myocardial infarction（AMI）,to provide the basis for predictive assessment and nursing.Methods 407 patients with AMI were reviewed.Risk factors for inducing delirium were analyzed in patients with delirium（n=41） and without delirium（n=41） by single factor and Logistic regression analysis.Results Independent risk factors of delirium for AMI patients included advanced age（65 years old）,a history of cardiopulmonary resuscitation（CPR）,less than 85% of oxygen saturation,and hypokalemia by Logistic regression analysis.Conclusion Nurses should improve nursing observation of elderly patients,and patients with the history of CPR,less than 85% of oxygen saturation,and hypokalemia,formulate pertinent nursing measures.