摘要
目的:探讨以护士为主导的ICU谵妄预防措施对ICU患者的影响,为临床护士参与ICU谵妄管理提供依据。方法:选取2018年1月-2019年12月在本院ICU救治的病例200例作为研究对象,采用随机数字表法分为对照组与试验组,各100例。对照组按常规ICU护理模式开展ICU谵妄预防干预,试验组开展以护士主导型ICU谵妄预防干预,比较两组患者的谵妄发生率、谵妄持续时间、ICU入住时间、意外拔管率、干预前后的生活质量及护理满意度。结果:试验组ICU谵妄发生率显著低于对照组;试验组ICU治疗时间及谵妄症持续时间均显著短于对照组;试验组的意外拔管率显著低于对照组;在入住ICU期间试验组的生活质量及护理满意度显著高于对照组,差异均有统计学意义(P<0.05)。结论:护士主导型谵妄预防措施可以有效降低ICU患者谵妄发生率及谵妄持续时间,并能减少患者意外拔管率,从而缩短ICU的入住时间,提高患者的生活质量及护理满意度。
Objective:To explore the effect of nurse led delirium prevention measures on ICU patients,and to provide basis for clinical nurses to participate the management of delirium in ICU.Method:A total of 200 cases treated in ICU of our hospital from January 2018 to December 2019 were divided into the control group and the experimental group according to the random number table method,100 cases in each group.The control group carried out ICU delirium prevention according to the conventional ICU nursing mode,and the experimental group carried out nurse lead ICU delirium prevention intervention.The incidence of delirium,duration of delirium and ICU stay time,accidental extubation rate,quality of life before and after intervention and nursing satisfaction were compared between the two groups.Result:The incidence of delirium in the experimental group was significantly lower than that in the control group;the treatment time in ICU and the duration of delirium in the experimental group were significantly shorter than those in the control group,the accidental extubation rate in the experimental group was significantly lower than that in the control group.During admission to ICU,the quality of life and the nursing satisfaction of patients in the experimental group were significantly higher than those in the control group,the differences were statistically significant (P<0.05).Conclusion:Nurse lead delirium prevention measures can effectively reduce the incidence and duration of delirium in ICU patients,reduce the rate of accidental extubation,shorten the stay time in ICU,and improve the quality of life and nursing satisfaction of patients.
作者
刘霞
LIU Xia(Zhongshan People’s Hospital,Zhongshan 528400,China)
出处
《中外医学研究》
2021年第27期89-92,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
中山市卫生局科研项目(2021A020636)。
