早期活动在预防重症监护病房机械通气患者谵妄中的作用

目的 探讨早期活动在预防重症监护病房机械通气患者谵妄中的作用。方法 将我院2017年4月—2019年4月收治的62例重症监护病房机械通气患者按照随机数字表法分为两组，对照组31例予以常规护理，研究组31例加以早期活动。比较两组患者谵妄发生情况、谵妄亚型、谵妄发生时间、谵妄持续时间、通气时间、ICU住院时间、住院费用、睡眠质量。结果 研究组谵妄发生率为22.58%，低于对照组的48.39%(P <0.05)。研究组谵妄混合型、活动增多型、活动减少型比例与对照组比较，差异无统计学意义（P> 0.05）。研究组患者谵妄发生时间与对照组比较，差异无统计学意义（P> 0.05），研究组谵妄持续时间、通气时间、ICU住院时间均短于对照组，住院费用少于对照组（P <0.05）。两组患者干预前睡眠质量测定量表评分比较，差异无统计学意义（P> 0.05），干预后两组睡眠质量测定量表评分均较干预前显著降低，且研究组低于对照组（P <0.05）。结论 在常规护理基础上加以早期活动可降低重症监护病房机械通气患者谵妄发生率，缩短患者谵妄持续时间、通气时间、ICU住院时间，提高...

Early Activity in Preventing Delirium in Patients With Mechanical Ventilation in ICU

Objective To explore the role of early activity in preventing delirium in patients with mechanical ventilation in intensive care unit.Methods A total of 62 patients with mechanical ventilation in intensive care unit were selected from April 2017 to April 2019 in our hospital.They were divided into two groups according to random number table method.31 patients in the control group were given routine nursing,and 31 patients in the study group were given early activity.The occurrence of delirium,delirium subtype,delirium occurrence time,delirium duration,ventilation time,ICU hospitalization time,hospitalization expenses and sleep quality were compared between the two groups.Results The incidence of delirium in the study group was 22.58%,lower than 48.39%in the control group(P<0.05).There was no significant difference in the proportion of delirium mixed type,increased activity type and decreased activity type between the study group and the control group(P>0.05).There was no significant difference in the occurrence time of delirium between the study group and the control group(P>0.05).The duration of delirium,ventilation time and ICU hospitalization time in the study group were shorter than those in the control group,and the hospitalization expenses were less than those in the control group(P<0.05).There was no significant difference in the scores of Sleep Quality Measurement Scale between the two groups before intervention(P>0.05).After intervention,the scores of Sleep Quality Measurement Scale in the two groups were significantly lower than those before intervention,and the scores in the study group were lower than those in the control group(P<0.05).Conclusion Early activity on the basis of routine nursing can reduce the incidence of delirium in patients with mechanical ventilation in intensive care unit,shorten the duration of delirium,ventilation time,ICU hospitalization time,improve patients'sleep quality and reduce hospitalization costs.