谵妄护理干预在重症监护病房老年病人中的应用

Application of delirium nursing intervention for elderly patients in ICU

[目的]探讨谵妄护理干预在重症监护病房(ICU)老年病人中的应用,以优化ICU老年病人的护理。[方法]选取ICU收治的老年病人146例,按随机数字表法分为干预组76例和对照组70例,对照组给予常规护理,干预组则在对照组病人的基础上实施谵妄护理干预,比较两组病人谵妄发生率、谵妄持续时间、ICU住院时间及干预前后急性生理和慢性健康状况评分(APACHEⅡ)。[结果]干预组病人谵妄发生率为13.16%,对照组为27.14%,组间差异具有统计学意义(P<0.05);干预组病人谵妄持续时间、ICU住院时间均明显短于对照组(P<0.05);干预前两组病人APACHEⅡ评分比较差异无统计学意义(P>0.05),干预后均明显降低,干预后组间APACHEⅡ评分比较,差异无统计学意义(P>0.05)。[结论]谵妄护理干预可降低ICU老年病人谵妄发生率,缩短谵妄持续时间,利于病人康复。

Objective：To probe into the application of delirium nursing intervention for elderly patients in ICU,in order to optimize the nursing of elderly patients in ICU.Methods：A total of 146 cases of elderly patients in ICU were selected and randomly divided into interventional group（n=76）and control group（n=70）based on random number table.Patients in control group received routine care,patients in intervention group received delirium nursing intervention,the incidence of delirium,delirium duration,ICU hospitalization time and the APACHE II score before and after intervention were compared between the two groups.Results：The incidence of delirium in interventional group was 13.16%（10/76）,and was 27.14% in control group（19/70）,there was statistically significant difference in the incidence of delirium between the two groups（P〈0.05）;the delirium duration and ICU hospitalization time in interventional group were significantly shorter than that in control group（P〈0.05）;before the intervention,there was no statistically significant difference in the incidence of delirium and APACHEII scores between the two groups（P〉0.05）,and the APACHEII score of both groups was significantly reduced compared with that before intervention（P〈0.05）.There was no statistically significant difference in APACHE II scores between the two groups（P〉0.05）.Conclusion：Delirium nursing intervention could reduce the incidence of delirium in elderly patients,shorten delirium duration and was helpful for the rehabilitation of patients.