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强化护理干预对ICU患者谵妄转归效果研究
引用本文:王爽,赵溪红,王佐岩.强化护理干预对ICU患者谵妄转归效果研究[J].中国护理管理,2009,9(4):38-40.
作者姓名:王爽  赵溪红  王佐岩
作者单位:北京世纪坛医院ICU,100038
摘    要:目的:研究强化护理干预措施对ICU住院谵妄患者预后的影响。方法:134例患者于入住ICU后因各种因素发生谵妄被按顺序分入常规护理组和强化护理干预组。于当日3小时内、48小时及出ICU(转出、直接出院)前3小时内,采用CAM-ICU量表进行谵妄评估。强化护理干预组在常规护理的基础上进行护理教育,对患者采用个体化护理等多因素干预措施。结果:两组患者在年龄,性别构成和APACHEⅡ评分等方面均无统计学差异。强化护理组患者在第5天维持谵妄状态的患者明显少于普通护理组(P〈0.01),而且前者的ICU平均住院日明显缩短。结论:强化护理干预措施能够缩短ICU患者谵妄的持续时程,并能够减少谵妄患者的平均住院日。

关 键 词:ICU  谵妄  强化护理  干预

The effect of intensive nursing intervention on delirium inpatients'prognosis in ICU
WANG Shuang,ZHAO Xi-hong,WANG Zuo-yan.The effect of intensive nursing intervention on delirium inpatients'prognosis in ICU[J].Journal of Chinese Nursing Management,2009,9(4):38-40.
Authors:WANG Shuang  ZHAO Xi-hong  WANG Zuo-yan
Institution:WANG Shuang,ZHAO Xi-hong,WANG Zuo-yan // ICU department of Beijing Shijitan Hospital,100038 China
Abstract:Objective: To investigate the effect of intensive nursing intervention on delirium prognosis. Methods: 134 patients who consecutively admitted to ICU were recruited in the survey. They were divided into the usual-care group and the intensive nursing intervention group. Assessment to delirium inpatients with CAM - ICU questionnaire were conducted within 3 hours, 48 hours at the same day as well as 3 hours before leaving ICU (turn out or discharge). Nursing education combing with conventional care was carried...
Keywords:ICU
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