综合心理护理干预在预防ICU患者谵妄中的效果
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摘要
目的分析综合心理护理干预在预防ICU患者谵妄中的效果。方法选取2015年3月至2018年2月我院收治的150例ICU患者为研究对象,用随机数字表法将其分为对照组(n=75,常规护理)与观察组(n=75,常规护理+综合心理护理干预)。比较两组患者的护理效果。结果护理前,两组患者谵妄评分比较,差异无统计学意义(P>0.05);护理后,两组患者谵妄评分均升高,且观察组明显高于对照组,差异具有统计学意义(P<0.05)。观察组谵妄发生率低于对照组,且观察组谵妄持续时间及ICU入住时间均明显短于对照组,差异具有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异具有统计学意义(P<0.05)。结论将综合心理护理干预应用于ICU患者中能够预防谵妄的发生,缩短ICU入住时间及谵妄持续时间,促进患者康复,与此同时,还能够提高患者对护理工作的满意度。
Objective To analyze the effect of comprehensive psychological nursing intervention on prevention of delirium in ICU patients. Methods A total of 150 ICU patients admitted in our hospital from March 2015 to February 2018 were selected as the research objects. They were divided into control group(n=75, routine nursing) and observation group(n =75, routine nursing +comprehensive psychological nursing intervention) by random number table method. The nursing effects of the two groups were compared. Results Before nursing, there was no significant difference in delirium scores between the two groups(P>0.05); after nursing, the delirium scores of both groups increased, and that in the observation group was significantly higher than the control group, the differences were statistically significant(P<0.05). The incidence of delirium in the observation group was lower than that in the control group, and the duration of delirium and ICU stay time in the observation group were significantly shorter than those in the control group, the differences were statistically significant(P <0.05). The nursing satisfaction of the observation group was higher than that of the control group, the difference was statistically significant(P <0.05). Conclusion The application of comprehensive psychological nursing intervention in ICU patients can prevent delirium, shorten the ICU stay time and duration of delirium, promote patients' rehabilitation. At the same time, it can improve patients' satisfaction with nursing work.
Objective To analyze the effect of comprehensive psychological nursing intervention on prevention of delirium in ICU patients. Methods A total of 150 ICU patients admitted in our hospital from March 2015 to February 2018 were selected as the research objects. They were divided into control group(n=75, routine nursing) and observation group(n =75, routine nursing +comprehensive psychological nursing intervention) by random number table method. The nursing effects of the two groups were compared. Results Before nursing, there was no significant difference in delirium scores between the two groups(P>0.05); after nursing, the delirium scores of both groups increased, and that in the observation group was significantly higher than the control group, the differences were statistically significant(P<0.05). The incidence of delirium in the observation group was lower than that in the control group, and the duration of delirium and ICU stay time in the observation group were significantly shorter than those in the control group, the differences were statistically significant(P <0.05). The nursing satisfaction of the observation group was higher than that of the control group, the difference was statistically significant(P <0.05). Conclusion The application of comprehensive psychological nursing intervention in ICU patients can prevent delirium, shorten the ICU stay time and duration of delirium, promote patients' rehabilitation. At the same time, it can improve patients' satisfaction with nursing work.
引文
[1]王儒林,梁彦,李桂芳.综合护理干预在预防ICU谵妄患者中的应用[J].齐鲁护理杂志,2016,22(5):67-69.
[2]林爱丽.集束化护理预防心脏外科手术患者术后ICU谵妄的临床效果观察[J].临床合理用药杂志,2016,9(22):165-166.
[3]蔡晓微.综合护理干预在预防ICU谵妄患者中的应用研究[J].中国现代药物应用,2017,11(12):156-157.
[4]戴云飞,肖泽萍.中国精神障碍分类与诊断标准第3版与国际疾病分类第10版的比较[J].临床精神医学杂志,2013,23(6):426-427.
[5]宁艳花,王儒林,张琳.应用简体中文版护理谵妄筛查量表评估ICU谵妄的临床研究[J].中国实用护理杂志,2014,30(7):18-20.
[6]李谢妹.ICU谵妄患者的临床护理研究[J].中国卫生标准管理,2016,7(4):196-197.
[7]朱松.护理干预在预防体外循环心脏手术后患者ICU综合征的应用效果评价[J].中西医结合心血管病电子杂志,2016,4(2):40-41.
[8]程静.重症监护室谵妄的原因分析及护理干预[J].饮食保健,2016,3(14):140-141.
[9]樊红美.综合护理干预预防心脏术后患者ICU综合征效果观察[J].齐鲁护理杂志,2017,23(6):85-87.
[2]林爱丽.集束化护理预防心脏外科手术患者术后ICU谵妄的临床效果观察[J].临床合理用药杂志,2016,9(22):165-166.
[3]蔡晓微.综合护理干预在预防ICU谵妄患者中的应用研究[J].中国现代药物应用,2017,11(12):156-157.
[4]戴云飞,肖泽萍.中国精神障碍分类与诊断标准第3版与国际疾病分类第10版的比较[J].临床精神医学杂志,2013,23(6):426-427.
[5]宁艳花,王儒林,张琳.应用简体中文版护理谵妄筛查量表评估ICU谵妄的临床研究[J].中国实用护理杂志,2014,30(7):18-20.
[6]李谢妹.ICU谵妄患者的临床护理研究[J].中国卫生标准管理,2016,7(4):196-197.
[7]朱松.护理干预在预防体外循环心脏手术后患者ICU综合征的应用效果评价[J].中西医结合心血管病电子杂志,2016,4(2):40-41.
[8]程静.重症监护室谵妄的原因分析及护理干预[J].饮食保健,2016,3(14):140-141.
[9]樊红美.综合护理干预预防心脏术后患者ICU综合征效果观察[J].齐鲁护理杂志,2017,23(6):85-87.