[Objectives]This study aimed to investigate the incidence and risk factors associated with SSD in patients following cardiac surgery.[Methods]A total of 378 patients who underwent cardiac surgery in Taihe Hospital wer...[Objectives]This study aimed to investigate the incidence and risk factors associated with SSD in patients following cardiac surgery.[Methods]A total of 378 patients who underwent cardiac surgery in Taihe Hospital were recruited and screened.Diagnosis of delirium was made using evaluation methods and DSM-5 criteria.SSD was defined as the presence of one or more core features of delirium without meeting the full diagnostic criteria.Statistical analysis included independent samples t-test for group comparisons and binary logistic regression analysis to identify independent risk factors for SSD after cardiac surgery.[Results]Among the 378 subjects,112(29.63%)had SSD,28(7.41%)had delirium,and the remaining 238 patients(62.96%)did not present with delirium.Univariate analysis revealed that age,APACHE II score,duration of aortic clamping,length of ICU stay,duration of sedation use,and daily sleep time were significant risk factors for the occurrence of SSD(P<0.05).Logistic regression analysis identified age>70 years old,APACHE II score>20 points,length of ICU stay>5 d,and duration of sedation use>24 h as independent risk factors for SSD after cardiac surgery(P<0.05).A functional model was fitted based on the analysis results of the binary logistic regression model,yielding the equation logit P=1.472X_(1)+2.213X_(2)+3.028X_(3)+1.306X_(4).[Conclusions]Comprehensive clinical assessment is crucial for patients undergoing cardiac surgery,and appropriate preventive measures should be taken for patients with identified risk factors.Close monitoring of the patient s consciousness should be implemented postoperatively,and timely interventions should be conducted.Further research should focus on model validation and optimization.展开更多
目的探讨重症监护室(intensive care unit,ICU)患者谵妄的发生情况及其相关危险因素。方法选择江苏省南京市东南大学附属中大医院重症医学科2016年3-9月收治的318名综合ICU患者,使用ICU意识模糊评估法(CAM-ICU),每8小时评估1次ICU患者...目的探讨重症监护室(intensive care unit,ICU)患者谵妄的发生情况及其相关危险因素。方法选择江苏省南京市东南大学附属中大医院重症医学科2016年3-9月收治的318名综合ICU患者,使用ICU意识模糊评估法(CAM-ICU),每8小时评估1次ICU患者是否发生谵妄,采用多元Logistic回归分析谵妄的危险因素。结果 86例患者因昏迷而无法使用CAM-ICU进行谵妄的评估,其余232例患者中95例发生ICU谵妄,ICU谵妄发生率为40.9%。其中48例(50.5%)患者谵妄首次发生时间在入院3 d内。ICU谵妄的分型:兴奋型谵妄24例,占25.5%;抑郁型谵妄25例,占26.6%;混合型谵妄45例,占47.9%。Logistic回归分析结果显示:≥65周岁、APACHEⅡ评分、因创伤入住ICU、酗酒史、高血压病史、代谢性酸中毒、呼吸系统疾病、使用咪达唑仑、使用机械通气是谵妄的独立危险因素(P<0.05)。结论ICU患者谵妄的发生率较高,年龄≥65周岁、APACHEⅡ评分高、因创伤入住ICU、有酗酒史和高血压病史、代谢性酸中毒、有呼吸系统疾病、使用咪达唑仑、使用机械通气的ICU患者易发生谵妄。展开更多
目的评价智能化ICU意识模糊评估（confusion assessment model for intensive care unit,CAM—ICU）系统（简称智能化CAM—ICU）在ICU护士群体中的接受情况。方法以技术接受模型为理论框架设计用户接受度问卷，采用方便取样的方法，于2...目的评价智能化ICU意识模糊评估（confusion assessment model for intensive care unit,CAM—ICU）系统（简称智能化CAM—ICU）在ICU护士群体中的接受情况。方法以技术接受模型为理论框架设计用户接受度问卷，采用方便取样的方法，于2015年10月—2016年1月对北京5所三甲医院的103位ICU护士进行调查。结果有效回收的101份问卷显示，智能化CAM—ICU用户接受度的各维度得分为有用性（4．62±0．44）分、易用性（4．31±0．39）分、易学性（4．28±0．49）分、信赖度（4．36±0．62）分、满意度（4．46±0．50）分、使用意向（4．61±0．52）分。不同年龄组和不同工龄组之间的护士在易用性、信赖度和满意度得分比较差异有统计学意义（P〈0．05）。Pearson相关分析显示有用性、易用性、信赖度与满意度之间呈正相关（P〈0．01），有用性、易用性、满意度与使用意向呈正相关（P〈0．05），有用性与易用性之间呈正相关（P〈0．01）。结论ICU护士对智能化CAM—ICU的用户接受度令人满意，从其主观角度验证了该评估系统在谵妄评估中简单易用的特点。ICU护士的年龄越大和工龄越长，对智能化CAM—ICU系统的接受度越高。除易学性外，相关分析结果显示各维度问的相关关系基本符合理论模型假设。展开更多
基金Supported by Philosophy and Social Science Research Project of Hubei Education Department in 2022(22D092)Guiding Scientific Research Project of Shiyan Science and Technology Bureau in 2022(22Y34).
文摘[Objectives]This study aimed to investigate the incidence and risk factors associated with SSD in patients following cardiac surgery.[Methods]A total of 378 patients who underwent cardiac surgery in Taihe Hospital were recruited and screened.Diagnosis of delirium was made using evaluation methods and DSM-5 criteria.SSD was defined as the presence of one or more core features of delirium without meeting the full diagnostic criteria.Statistical analysis included independent samples t-test for group comparisons and binary logistic regression analysis to identify independent risk factors for SSD after cardiac surgery.[Results]Among the 378 subjects,112(29.63%)had SSD,28(7.41%)had delirium,and the remaining 238 patients(62.96%)did not present with delirium.Univariate analysis revealed that age,APACHE II score,duration of aortic clamping,length of ICU stay,duration of sedation use,and daily sleep time were significant risk factors for the occurrence of SSD(P<0.05).Logistic regression analysis identified age>70 years old,APACHE II score>20 points,length of ICU stay>5 d,and duration of sedation use>24 h as independent risk factors for SSD after cardiac surgery(P<0.05).A functional model was fitted based on the analysis results of the binary logistic regression model,yielding the equation logit P=1.472X_(1)+2.213X_(2)+3.028X_(3)+1.306X_(4).[Conclusions]Comprehensive clinical assessment is crucial for patients undergoing cardiac surgery,and appropriate preventive measures should be taken for patients with identified risk factors.Close monitoring of the patient s consciousness should be implemented postoperatively,and timely interventions should be conducted.Further research should focus on model validation and optimization.
文摘目的探讨重症监护室(intensive care unit,ICU)患者谵妄的发生情况及其相关危险因素。方法选择江苏省南京市东南大学附属中大医院重症医学科2016年3-9月收治的318名综合ICU患者,使用ICU意识模糊评估法(CAM-ICU),每8小时评估1次ICU患者是否发生谵妄,采用多元Logistic回归分析谵妄的危险因素。结果 86例患者因昏迷而无法使用CAM-ICU进行谵妄的评估,其余232例患者中95例发生ICU谵妄,ICU谵妄发生率为40.9%。其中48例(50.5%)患者谵妄首次发生时间在入院3 d内。ICU谵妄的分型:兴奋型谵妄24例,占25.5%;抑郁型谵妄25例,占26.6%;混合型谵妄45例,占47.9%。Logistic回归分析结果显示:≥65周岁、APACHEⅡ评分、因创伤入住ICU、酗酒史、高血压病史、代谢性酸中毒、呼吸系统疾病、使用咪达唑仑、使用机械通气是谵妄的独立危险因素(P<0.05)。结论ICU患者谵妄的发生率较高,年龄≥65周岁、APACHEⅡ评分高、因创伤入住ICU、有酗酒史和高血压病史、代谢性酸中毒、有呼吸系统疾病、使用咪达唑仑、使用机械通气的ICU患者易发生谵妄。
文摘目的评价智能化ICU意识模糊评估（confusion assessment model for intensive care unit,CAM—ICU）系统（简称智能化CAM—ICU）在ICU护士群体中的接受情况。方法以技术接受模型为理论框架设计用户接受度问卷，采用方便取样的方法，于2015年10月—2016年1月对北京5所三甲医院的103位ICU护士进行调查。结果有效回收的101份问卷显示，智能化CAM—ICU用户接受度的各维度得分为有用性（4．62±0．44）分、易用性（4．31±0．39）分、易学性（4．28±0．49）分、信赖度（4．36±0．62）分、满意度（4．46±0．50）分、使用意向（4．61±0．52）分。不同年龄组和不同工龄组之间的护士在易用性、信赖度和满意度得分比较差异有统计学意义（P〈0．05）。Pearson相关分析显示有用性、易用性、信赖度与满意度之间呈正相关（P〈0．01），有用性、易用性、满意度与使用意向呈正相关（P〈0．05），有用性与易用性之间呈正相关（P〈0．01）。结论ICU护士对智能化CAM—ICU的用户接受度令人满意，从其主观角度验证了该评估系统在谵妄评估中简单易用的特点。ICU护士的年龄越大和工龄越长，对智能化CAM—ICU系统的接受度越高。除易学性外，相关分析结果显示各维度问的相关关系基本符合理论模型假设。
