ICU患者精神障碍高风险因素调查分析

Intensive care patients at high risk of mental disorders

目的对ICU患者精神障碍高风险因素及其护理对策进行分析观察。方法研究对象为我院治疗的综合性ICU患者152例,评估方法为MMSE及CAM。选取精神障碍患者66例随机分为两组:对照组33例,给予常规的护理措施;观察组33例,在对照组的基础上给予综合心理护理措施,比较评估护理干预前及干预三周后的MMSE和CAM评分。结果对ICU患者精神障碍形成的影响因素有住院时间、镇静药物的使用及是否发生脑卒中。两组患者的MMSE和CAM评分在护理干预3周后和护理前比较差异具有统计学意义(P<0.05),与对照组比较,观察组的MMSE和CAM评分具有统计学意义(P<0.05)。结论对ICU患者精神障碍高风险因素应提高重视并及早实施护理措施。

Objective To analyze and observe the high-risk factors and nursing of intensive care patients with mental dis-orders. Methods All of 152 cases were compr6hensive hospital ICU patients, they were evaluated with MMSE and CAM. 66 cases with mental disorders were randomly divided into control group（33 patients） received conventional care measures; observation group （33 patients） received routine nursing care and comprehensive measures of psychological care, they were evaluated at nursing intervention before and after three weeks, their MMSE and CAM ratings were compared. Results ICU patients factors affecting the formation of mental disorders were hospitalization, sedative drug use and whether the occur- rence of stroke. The difference was significant difference in MMSE and CAM score of two groups between nursing inter- vention befoure and after three weeks （P 〈 0.05）, the MMSE and CAM score had a significant difference statistically signif- icant between control group and observation group （P 〈 0.05）. Conclusion For the ICU patients at high risk of mental disor- ders increased emphasis on high-risk patients to early implementation of nursing interventions.