重症监护室患者发生ICU综合征的危险因素分析

Risk factors analysis of ICU syndrome in intensive care unit patients

目的探讨重症监护室患者发生ICU综合征的危险因素。方法选取医院重症监护室收治的98例患者作为研究对象,其中发生ICU综合征23例为发生组(病例组),未发生ICU综合征75例为对照组。采用一般资料调查问卷、ICU意识模糊评估法、急性生理学及慢性健康状况评分系统(APACHEⅡ)和匹兹堡睡眠质量指数量表进行调查。采用单因素分析与多因素Logistic回归分析确定影响重症监护室患者ICU综合征发生的危险因素。结果单因素分析显示,年龄、ICU住院时间、有创机械通气、睡眠质量、APACHEⅡ评分及同室病友死亡是影响重症监护室患者发生ICU综合征的相关因素(P<0.05);多因素Logistic回归分析显示,年龄、ICU住院时间、有创机械通气、APACHEⅡ评分、同室病友死亡是影响重症监护室患者发生ICU综合征的独立危险因素(P<0.05)。结论本组患者发生ICU综合征与年龄、ICU住院时间、APACHEⅡ评分等有关,医护人员应加强预测,以预防或降低ICU综合征的发生。

Objective To discuss the risk factors of ICU syndrome in intensive care unit patients.Methods A total of 98 patients admitted in hospital's intensive care units were selected as the study subjects,23 patients with ICU syndrome were enrolled as the occurrence group(case group),75 patients without ICU syndrome were enrolled as the control group.The general data questionnaire,confusion assessment method of ICU,acute physiology and chronic health evaluation scoring system(APACHEⅡ),and Pittsburgh sleep quality index were applied to do the research.Univariate analysis and multivariate Logistic regression analysis were operated to determine the risk factors of ICU syndrome in intensive care unit patients.Results Univariate analysis showed that age,length of ICU stay,invasive mechanical ventilation,sleep quality,APACHEⅡscore and death of fellow patients were related factors of ICU syndrome in intensive care unit patients(P<0.05).Multivariate Logistic regression analysis showed that age,length of stay in ICU,invasive mechanical ventilation,APACHEⅡscore,and death of fellow inmate were independent risk factors of ICU syndrome in intensive care unit patients(P<0.05).Conclusion The incidence of ICU syndrome were related with age,ICU stay time,APACHEⅡscore,medical staff should strengthen the prediction'to prevent or reduce the occurrence of ICU syndrome.