某三甲医院ICU患者记忆评估调查及其影响因素分析

Memory assessment survey and its influencing factors of ICU patients in a Class Ⅲ Grade A hospital

目的 评估ICU患者相关记忆状况，并对影响因素进行分析，为临床护士提供一定的指导依据。方法选取2017年1-12月入住某三甲医院ICU患者170例为研究对象，采用汉化的ICU记忆评估工具量表进行问卷调查，用SPSS17．0统计分析ICU记忆评估情况，并用Logistic回归分析其影响因素。结果 共收到有效问卷156份，有151例患者有事实记忆，其中排在前3位的记忆是灯光、声音、报警声；排在后3位的是家人、鼻腔插管、面孔；147例患者有情感记忆，排在前3位的是疼痛、恐慌、不舒服；96例患者有妄想性记忆，排在前3位的是做梦、幻觉、噩梦。婚姻状况、ICU停留时间、是否使用镇痛药是ICU相关记忆的影响因素（P〈0．05）。结论 对于ICU患者，尤其是中年已婚患者、年轻的未婚患者和离异患者、ICU停留天数较长患者应更加重视做好相关的心理护理，同时需要及时观察患者疼痛情况，做好镇痛药物护理，缓解患者的疼痛。

Objective To evaluate the related memory status of ICU patients and analyze the influencing factors, so as to provide some guidance for clinical nurses. Methods A total of 170 patients who were admitted to ICU in a Class Ⅲ Grade A hospital were selected as the subjects from January to December 2017. The Chinese ICU Memory Assessment Tool Scale was used to conduct the questionnaire survey, and the ICU memory assessment was analyzed by SPSS 17.0. Logistic regression analysis was used to analyze the influencing factors of ICU memory assessment. Results A total of 156 valid questionnaires were received, among which there were 151 patients with factual memory, and the top three memories were light, sound and alarm sound, while the last three were family, nasal intubation and face. There were 147 patients with emotional memory, and the top three were pain, panic and uncomfortable. There were 96 patients with delusional memory, and the top three were dream, illusion and nightmare. Marital status, ICU residence time, and the use of analgesics were the factors affecting the memory related to ICU (P＜0.05). Conclusions For the patients, especially middle-aged married patients, young unmarried and divorced patients with longer residence time in ICU, more attention should be paid to psychological nursing, and timely observation of patients'pain, analgesic drug care should be done to alleviate patients' pain.