摘要
目的探讨家庭参与式多感官刺激方案的实施对ICU机械通气患者谵妄的影响。方法将80例ICU机械通气患者按照入住时间分为对照组41例,观察组39例。对照组实施常规护理方案,观察组实施家庭参与式多感官刺激谵妄防治方案。结果两组均有36例完成研究。干预后观察组谵妄发生率、谵妄持续时间、机械通气时间显著低于或短于对照组(均P<0.05),患者家属满意度问卷中信息、保证、被接纳维度得分显著高于对照组(均P<0.05)。结论家庭参与式多感官刺激可有效降低ICU机械通气患者谵妄发生率,缩短其机械通气时间,提高患者家属满意度。
Objective To explore the effect of family participatory multi-sensory stimulation on delirium in mechanically ventilated ICU patients.Methods A total of 80 mechanically ventilated ICU patients were divided into a control group(41 cases)and an experimental group(39 cases).The control group received routine care,while the experimental group additionally received family participatory multi-sensory stimulation programme for delirium prevention and treatment.Results Thirty-six patients in each group completed the study.After the intervention,the incidence of delirium,the duration of delirium and the time of mechanical ventilation in the experimental group were significantly lower or shorter than those in the control group(all P<0.05),and the subscale scores of the information,reassurance and acceptance of the family satisfaction questionnaire in the experimental group were signi-ficantly higher than those in the control group(all P<0.05).Conclusion Family participatory multi-sensory stimulation can effectively reduce the incidence of delirium,shorten the duration of mechanical ventilation in mechanically ventilated ICU patients,and improve the satisfaction of patients′family members.
作者
何彬
杨郑
蒙斯雅
何桂兰
莫蓓蓉
He Bin;Yang Zheng;Meng Siya;He Guilan;Mo Beirong(Intensive Care Unit,Huazhong University of Science and Technology Union Shenzhen Hospital,Shenzhen 518000,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第14期27-32,共6页
Journal of Nursing Science
基金
深圳市南山区科技计划项目(NS2023015)。
关键词
重症监护病房
机械通气
谵妄
家庭参与
多感官刺激
听觉刺激
视觉刺激
家属满意度
intensive care unit
mechanical ventilation
delirium
family involvement
multi-sensory stimulation
auditory stimulation
visual stimulation
family satisfaction