早期活动干预对ICU机械通气患者谵妄的疗效观察

The Effect of Early activity for Delirium of mechanical ventilation Patients in ICU

目的探讨早期活动干预对ICU机械通气患者谵妄发生率以及相关护理并发症的影响。方法 86例接受机械通气治疗的ICU患者按入科时间随机分为观察组和对照组,对照组按危重患者常规护理方法进行护理干预,观察组在常规护理基础上,对患者实施早期活动干预。使用CAM-ICU量表评估2组患者谵妄情况,同时,观察患者相关护理并发症的发生率。结果入ICU 8h内2组患者谵妄发生率无差异,而观察组患者48h、转出ICU前以及入住ICU期间谵妄总的发生率均明显低于对照组。在护理并发症方面,观察组患者呼吸机相关性肺炎、深静脉血栓以及肌肉萎缩的发生率低于对照组,而非计划性拔管及跌倒的发生率2组患者比较无统计学差异。结论早期活动干预降低ICU机械通气患者谵妄发生率,是预防发生谵妄的有力措施。

Objective To study the incidence of delirium and Nursing complications after conolucting early activity for Patients with mechanical ventilation in ICU. Methods 86 ICU Patients with mechanical ventilation were randomly divided into observation group and control group according to the Admission time. The control group received routine nursing for critical or intensive patients, while the observation group received early nursing intervention. Accessed patients with CAM - ICU and observed the incidence of Nursing care of the complications. Results The incidence of delirium was similar in the first 8 hours after being admitted ,while the total incidences of delirium al 48 hours, before being transferred from Icu and during in lcu of observation group were lower than control group. The incidences of ventilator - associated pneumonia, cleep vein thrombosis and muscle atrophyh in observation group were lower than in control group, while case of unplanned extubation and fall between the two groups had no significant differences. Conclusion Early activity can reduce the cases of Delirium with mechanical ventilation in ICU,it is a effective measure to prevent Delirium.