80岁以上患者应用呼吸机辅助呼吸后意识衰退调查及干预效果研究

Investigation of awareness recession in elderly patients undergoing ventilator assisted respication and the evaluation of intervention

目的探讨≥80岁老年患者应用呼吸机辅助呼吸后意识衰退情况的干预方法,并对干预效果进行评价。方法将纳入的50例研究对象随机分为一般干预组及互动干预组。一般干预组采用读报、听音乐方式;而互动干预组采用iPAD互动交流方式。应用格拉斯哥量表(GCS)评价应用呼吸机辅助呼吸前后患者的意识情况。结果在第2周时,一般干预组与互动干预组患者各项意识评分指标均无统计学差异(P>0.05);在第4周和第8周时,2组间睁眼反应指标无统计学差异(P>0.05),而2组间语言反应和运动反应指标均有统计学差异(P<0.05或P<0.01),互动治疗组的语言反应和运动反应的GCS评分高于一般治疗组。结论采用长期的互动干预护理方式可以延缓≥80岁呼吸机辅助呼吸患者的意识衰退速度。

Objective To explore the awareness recession in elderly patients who underwent breathing machine treatment and to evaluate the effects of intervention. Methods Fifty patients were randomly divided into normal group and intervention group. Patients in normal group were treated with reading newspaper and listening music. Patients in in- tervention group were treated with interaction measures using iPAD. GCS scale was used to assess the awareness of pa- tients before and after assisted respiration. Results After 2 weeks, the awareness between two groups was of no signifi- cant difference （P〉0. 05 ）. At the 4th week point after assisted respiration, the difference in awareness between the two groups was of significant. Awareness in normal group was worse than that in intervention group （P〈0. 05 or P〈0. 01 ）. Verbal response and motion response showed significant recessin, but eye opening response showed no obvious recession （P〉0. 05）. The results are the same at the 8th week . Conclusions Interactive communication can delay the con- sciousness recession in elderly patients undergoing ventilator assisted respiration.