譫妄護(hù)理方案在ICU老年患者中的應(yīng)用觀察
發(fā)布時間:2018-06-20 16:29
本文選題:重癥監(jiān)護(hù)病房 + 重癥護(hù)理; 參考:《中國醫(yī)藥科學(xué)》2017年01期
【摘要】:目的探討譫妄護(hù)理方案在ICU老年患者中的應(yīng)用效果。方法選取2013年3月~2016年2月我院ICU收取的老年重癥患者126例,并按照隨機(jī)數(shù)字表法分為對照組(n=63)和觀察組(n=63)。對照組行常規(guī)護(hù)理,觀察組在此基礎(chǔ)上加強(qiáng)譫妄護(hù)理方案,對比兩組的護(hù)理效果。結(jié)果 (1)觀察組譫妄發(fā)生率為11.1%,顯著低于對照組的25.4%(P0.05);(2)觀察組ICU住院時間顯著地短于對照組(P0.055);兩組護(hù)理前后APACHE Ⅱ評分相比,差異無統(tǒng)計學(xué)意義(P0.05);(3)觀察組家屬滿意度為98.4%,顯著高于對照組的85.7%(P0.05)。結(jié)論在ICU老年患者中,實(shí)施譫妄護(hù)理方案可降低譫妄發(fā)生概率、縮短住院時間、提高護(hù)理滿意程度。
[Abstract]:Objective to explore the effect of delirium nursing program in elderly patients in ICU. Methods 126 elderly patients in ICU from March 2013 to February 2016 were randomly divided into two groups: control group (n = 63) and observation group (n = 63). The control group received routine nursing and the observation group strengthened the nursing program of delirium and compared the nursing effect between the two groups. Results (1) the incidence of delirium in the observation group was 11.1, which was significantly lower than that in the control group (25.4%, P 0.05). The ICU hospitalization time in the observation group was significantly shorter than that in the control group (P 0.055), and the Apache 鈪,
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