认知行为干预联合社会支持对ICU谵妄患者的影响

Impact of cognitive behavioral intervention and social support on patients with ICU delirium

目的探讨认知行为联合社会支持干预在ICU抑郁型谵妄症危重患者中的应用效果。方法对2015年3月至2017年3月我院ICU治疗的100例抑郁型谵妄症患者进行认知行为联合社会支持干预护理,对护理前后患者症状改善情况进行评价,统计评价结果。结果经过认知行为联合社会支持干预护理后,患者较干预前,意识水平、注意力、定向力等症状均得到改善。患者在视觉空间与执行、记忆、注意、语言、定向等指标上干预后均明显优于干预前,差异具有统计学意义(P<0.05)。结论认知行为联合社会支持干预方法可改善ICU抑郁型谵妄症状,提高患者的认知力。

Objective To explore the effect of cognitive behavior combined with social support intervention in critically ill patients with depressive delirium in ICU.Methods A total of 100 cases of depressive delirium patients treated in ICU of our hospital from March 2015 to March 2017 were treated with cognitive behavior and social support intervention nursing.The symptoms of patients before and after nursing were evaluated and statistical evaluation results were obtained.Results After cognitive behavioral combined with social support intervention,the symptoms of consciousness,attention,and orientation were improved compared with that before the intervention.The patients were significantly better in visual space and execution,memory,attention,language,orientation and other indicators than that before the intervention,and the difference was statistically significant(P<0.05).Conclusion Cognitive behavior combined with social support intervention can improve the symptoms of depression in the ICU as well as the cognitive ability of patients.