摘要
目的:探讨ICU机械通气患者实施早期活动结合护理干预对其谵妄发生率的影响。方法:选取本院2016年10月-2017年11月ICU住院接受机械通气患者303例,按照随机数字表法对照组(150例)与观察组(153例)。对照组单纯实施护理干预,观察组在对照组基础上结合早期活动,比较两组ICU机械通气各时间段谵妄发生情况及住院情况。结果:两组ICU机械通气8 h内谵妄发生率比较,差异无统计学意义(P>0.05)。观察组入住ICU 8~48 h、>48 h及ICU住院期间谵妄总发生率均低于对照组,差异均有统计学意义(P<0.05)。两组患者谵妄首次发生时间比较,差异无统计学意义(P>0.05)。观察组谵妄持续时间较对照组短,差异有统计学意义(P<0.05)。观察组机械通气时间、ICU住院时间较对照组短,住院花费少于对照组,差异均有统计学意义(P<0.05)。结论:ICU机械通气患者在实施护理干预基础上结合早期活动利于减少患者机械通气期间谵妄的发生,有效缩短患者谵妄发生时间及机械通气时间,干预效果较单纯实施护理干预好。
Objective：To study the effect of early activity and nursing intervention on incidence of delirium of mechanical ventilation patients in ICU.Method：A total of 303 cases with mechanical ventilation in ICU from October 2016 to November 2017 were divided into control group of 150 cases and observation group of 153 cases according to table of random numbers.The control group was treated by nursing intervention,and the observation group was treated by early activity based on control group.The incidence of delirium at each time and hospitalization were compared between the two groups.Result：The incidence of delirium within 8 h ICU mechanical ventilation of the two groups had no difference（P〉0.05）.The total incidence of delirium in ICU 8~48 h,48 h,during ICU stays in the observation group were lower than those in the control group（P〈0.05）.The first delirium time of the two groups had no difference（P〉0.05）.Duration of delirium in the observation group was shorter than that in the control group（P〈0.05）.Mechanical ventilation time,ICU stays in observation group were shorter than those in the control group, hospitalization cost was less than that in the control group（P〈0.05）.Conclusion：The treatment of early activity and nursing intervention can reduce delirium of mechanical ventilation patients,it shorten delirium and mechanical ventilation time,the effect is better than nursing intervention.
作者
袁伟蓉
李苏娜
廖玲芳
张海燕
YUAN Weirong;LI Su’na;LIAO Lingfang(Huizhou First People’s Hospital,Huizhou 516001,China)
出处
《中国医学创新》
CAS
2018年第10期84-87,共4页
Medical Innovation of China
关键词
ICU
机械通气
早期活动
护理干预
谵妄
ICU
Mechanical ventilation
Early activity
Mursing intervention
Delirium
