基于前馈控制的三级护理干预在ICU患者谵妄预防中的应用研究

Study on the application of three-level nursing intervention based on feedforward control in the prevention of delirium in ICU patients

目的探讨基于前馈控制的三级护理干预在重症监护室(ICU)患者谵妄预防中的应用效果,为患者临床护理提供相关指导。方法选择2019年1月~2020年1月我院ICU接收诊治的182例患者为研究对象。按照随机单双数法将其分为对照组和研究组,每组各91例。对照组患者予以常规护理干预,研究组患者在对照组基础上予以基于前馈控制的三级护理干预。对比两组患者的谵妄发生率、谵妄持续时间、机械通气时间及住院时间,并分析两组患者谵妄相关不安全事件发生情况及对护理干预的满意度。结果研究组患者谵妄发生率、谵妄持续时间、机械通气时间及住院时间分别为17.58%、(11.62±2.56)h、(3.06±1.02)d、(47.06±5.12)h,均明显低于对照组的38.46%、(17.51±3.20)h、(5.75±1.58)d、(52.69±6.27)h,差异有统计学意义(P<0.05);研究组患者谵妄相关不安全事件发生率为3.30%,明显低于对照组的14.29%,差异有统计学意义(P<0.05);研究组患者对护理干预的满意度为96.70%,明显高于对照组的82.42%,差异有统计学意义(P<0.05)。结论基于前馈控制的三级护理干预在ICU患者谵妄预防中的应用效果显著,明显减少患者谵妄的发生,促进患者临床指标明显改善,且显著减少相关不安全事件的发生,进一步提高患者对护理干预的满意度,值得推广应用。

Objective To explore the application effect of three-level nursing intervention based on feedforward control in the prevention of delirium in patients in Intensive Care Unit(ICU),and provide relevant guidance for patients'clinical nursing.Methods A total of 182 patients admitted and treated in ICU of our hospital from January 2019 to January 2020 were selected as the research objects.The patients were divided into the control group(n=91)and the study group(n=91)according to the random single and double number method.The control group was treated with routine nursing intervention,while the study group was treated with three-level nursing intervention based on feedforward control,on the basis of the control group.The incidence of delirium,duration of delirium,duration of mechanical ventilation and hospitalization time in the two groups were compared,and the occurrence of delirium related unsafe events and the satisfaction with nursing intervention in the two groups were compared.Results The delirium incidence,duration of delirium,duration of mechanical ventilation,and hospitalization time in the study group were of 17.58%,(11.62±2.56)h,(3.06±1.02)d,(47.06±5.12)h,which were significantly lower than those in the control group of 38.46%,(17.51±3.20)h,(5.75±1.58)d,(52.69±6.27)h,with statistically significant differences(P<0.05).The incidence of deliri-related unsafe events in the study group was 3.30%,significantly lower than that in the control group(14.29%),with statistically significant difference(P<0.05).The satisfaction of the study group with nursing intervention was 96.70%,which was significantly higher than that of the control group(82.42%),with statistically significant difference(P<0.05).Conclusion Three-level nursing intervention based on feedforward control has a significant effect in the prevention of delirium in ICU patients,which can significantly reduce the occurrence of delirium in patients,promote the obvious improvement of clinical indicators in patients,and significantly reduce the occurrence of related unsafe events,and further improve the satisfaction of patients with nursing intervention,which is worthy of popularization and application.