外科ICU患者精神障碍危险因素分析与人性化护理干预

目的:研究外科ICU危重患者精神障碍发生率、出现精神障碍的危险因素,采用人性化护理干预对ICU危重病人精神障碍的影响。方法:对113例外科ICU危重病人采用简明精神状态检查量表与意识障碍评估方法进行评估,获取52例出现精神障碍患者,将52例患者采用人性化护理干预,比较干预前后MMSE和CAM的评分。结果:外科ICU危重患者精神障碍发生率24.7%,且随年龄增大发病率明显增加;住院天数、环境改变、使用镇静药物等是发生精神障碍的危险因素;人性化护理干预后的MMSE和CAM的评分差别具有统计学意义(P<0.05)。结论:重视外科ICU危重病人发生精神障碍的危险因素,积极采用人性化护理干预,促进患者早日康复。

Analysis of the mental disorder risks of surgical ICU patients and the humanized care intervention

Objective ：To investigate the incidence, risk factors of mental disorder among surgical ICU patients, and the effect of humanized care intervention. Methods：MMSE （mini mental state examination）and CAM （confusion assessment method）were adopted to evaluate 113 surgical ICU patients and find 52 patients in mental disorder,compared the MMSE and CAM results after the nurlng intervention. Results：The incidence of mental disorder of surgical ICU pa- tients was 24.7%, with an obvious upward trend with the increase of age. Days of hospitalization, change of environment and application of sedatives are trig- gering factors. Humanized care causes significant difference in incidence of mental disorder（ P 〈 0.05 ）. Conclusion ：Importance should be attached to mental disorder risks of critical patients in surgical ICU. Humanized care intervention needs to be actively applied to ensure an improved prognosis for those patients.