综合护理干预在预防ICU谵妄患者中的应用研究

Application study of comprehensive nursing intervention in prevention of delirium in ICU patients

目的总结探讨综合护理干预在预防重症加强护理病房(ICU)谵妄患者中的应用效果。方法 80例ICU住院手术治疗患者为研究对象,随机分为观察组和对照组,各40例。对照组给予常规护理,观察组应用综合护理干预。观察两组ICU谵妄发生率及其持续时间、ICU住院时间等指标。结果观察组ICU谵妄发生率7.50%明显低于对照组25.00%,ICU住院时间(3.1±0.5)d及谵妄持续时间(0.5±0.6)d均明显短于对照组(4.5±0.9)、(1.2±0.8)d,差异均具有统计学意义(P<0.05)。结论综合护理干预能有效预防ICU谵妄的发生,值得推广使用。

Objective To summarize and explore the application effect of comprehensive nursing intervention in prevention of delirium in intensive care unit（ICU） patients. Methods A total of 80 ICU patients with surgical treatment as study subjects were randomly divided into observation group and control group, with 40 cases in each group. The control group received conventional nursing, and the observation group received comprehensive nursing intervention. Observation were made on incidence and duration of ICU delirium, ICU hospital stay time in two groups. Results The observation group had obviously lower incidence of ICU delirium as 7.50% than 25.00% in the control group, obviously shorter ICU hospital stay time as（3.1±0.5） d and duration of delirium as（0.5±0.6） d than（4.5±0.9） and（1.2±0.8） d in the control group. Their difference had statistical significance（P〈0.05）. Conclusion Comprehensive nursing intervention can effectively prevent occurrence of ICU delirium, and it is worthy of promotion and use.