认知训练对ICU危重症患者谵妄的临床效果分析

Analysis of Clinical Effect of Cognitive Training on Delirium in ICU Critically Ill Patients

目的:分析认知训练对ICU危重症患者谵妄的临床效果。方法:将2016年1月~2017年2月80例ICU危重症患者作为研究对象并根据随机数字表分为认知训练组与对照组各40例。对照组采取常规治疗和护理方案,认知训练组在对照组基础上加以认知训练,比较两组家属满意度;谵妄发生率、谵妄发生时间、平均住院时间;干预前后患者APACHEII评分、生存质量评分。结果:认知训练组家属满意度高于对照组,P<0.05;认知训练组谵妄发生率低于对照组,谵妄发生时间晚于对照组,平均住院时间短于对照组,P<0.05;干预前两组APACHEII评分、生存质量评分相近,P>0.05;干预后认知训练组APACHEII评分、生存质量评分优于对照组,P<0.05。结论:认知训练对ICU危重症患者谵妄的临床效果确切,可有效降低谵妄发生率,延迟谵妄发生时间,缩短住院时间,改善患者预后和生存质量,患者家属满意度高,值得推广和应用。

Objective:To analyze the clinical effect of cognitive training on delirium in ICU critically ill patients.Methods:80 cases of ICU critically ill patients from January 2018 to February 2017 were enrolled in this study and divided into two groups according to the random number table,with 40 cases in each group.The control group was treated with routine treatment and nursing program,and the cognitive training group was trained on the basis of the control group.The family satisfaction,incidence of delirium,time of delirium,average hospitalization time,APACHEII score before and after the intervention,and the quality of life score in the two groups were compared.Results:The satisfaction rate of the family of cognitive training group was higher than that of the control group(P<0.05).The incidence of delirium in the cognitive training group was lower than that in the control group,and the time of delirium occurred later than that in the control group.The average hospital stay was shorter than that in the control group(P<0.05);The APACHEII score and the quality of life score before intervention were similar to those of the control group(P>0.05).The APACHEII score and the quality of life score after intervention were better than those in the control group(P<0.05).Conclusion:Cognitive training is effective in the treatment of delirium in ICU critically ill patients,which can effectively reduce the incidence of delirium,delay the time of delirium,shorten the hospitalization time,improve the prognosis and quality of life,with high family satisfaction,and is worthy of promotion and application.