以家庭为中心的探视对ICU肿瘤重症患者谵妄的影响

目的探讨以家庭为中心的探视模式预防ICU肿瘤重症患者谵妄发生的作用。方法将164例ICU肿瘤重症患者按照入院时间分为对照组和干预组各82例。对照组采用常规探视模式,干预组实施以家庭为中心的探视模式。比较两组谵妄发生率、ICU住院时间、ICU获得性感染发生率及ICU患者家属满意度。结果干预组谵妄发生率显著低于对照组,ICU住院时间显著短于对照组,ICU患者家属满意度显著高于对照组(P<0.05,P<0.01);两组ICU获得性感染发生率比较,差异无统计学意义(P>0.05)。结论实施以家庭为中心的探视模式可有效降低ICU肿瘤重症患者谵妄发生率,提高患者家属的满意度,且对ICU获得性感染发生率无明显影响。

Effect of family-centered visitation on delirium in ICU patients with cancer

Objective To investigate the effect of family-centered visitation on prevention of delirium in cancer patients in the ICU. Methods A total of 164 critically ill cancer patients were assigned into a control group and an intervention group of 82 according to their admission time, receiving either routine visitation or family-centered visitation. The rate of delirium, ICU length of stay, incidence of ICU acquired infection, and family satisfaction were compared between the two groups. Results The intervention group had lower rate of delirium, shorter ICU length of stay, and higher family satisfaction compared with the control group (P<0.05, P<0.01). There was no significant difference in incidence of ICU acquired infection between the two groups (P>0.05). Conclusion Implementation of family-centered visitation can effectively reduce delirium in cancer patients in the ICU and enhance satisfaction of family members, however, it has no significant impact on ICU acquired infection.