ISSN 2096-7446　CN 10-1655/R
主管：中国科协技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2020, Vol. 1 ›› Issue (3): 216-220.

• 谵妄护理专题 • 上一篇    下一篇

安全缝隙多重阻断方案在预防ICU谵妄中的应用

宋庆娜 刘蔚 孙强 王淑莲 荆伟丽 崔旭涛 姜艳   

  • 收稿日期:2019-12-29 出版日期:2020-05-10 发布日期:2021-01-05

Application of safety gap multiple blocking model in the prevention of

ICU delirium

SONG Qingna， LIU Wei， SUN Qiang， WANG Shulian, JING Weili, CUI

Xutao，JIANG Yan .   

  • Received:2019-12-29 Online:2020-05-10 Published:2021-01-05

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摘要：

目的:探讨安全缝隙 多重阻断方案在预防ICU患者发生谵妄中的应用效果。方法:纳入青岛某三级甲等医院2019年1月- -10月综合ICU患者为研究对象,采用类试验性研究方法。通过回顾性分析及访谈法，查找促发ICU谵妄的缝隙性因素,基于循证护理实践拟定缝隙填补措施;比较缝隙填补前后ICU患者谵妄发生率、患者家属心理痛苦程度、医护人员谵妄预防知识及人文关怀意识评分。结果:采用安全缝隙 多重阻断方案后,ICU患者谵妄发生率为.47.45%,下降了15.31%;谵妄持续时间为(4.32+0.67) d,下降了(0.85+0.08) d;患者入住ICU1周后,患者家属心理痛苦程度、医护人员谵妄预防知识及人文关怀意识评分前后比较,差异均有统计学意义(P<0.05)。结论:应用 安全缝隙多重阻断方案可降低ICU患者谵妄发生率,减轻患者家属的心理痛苦程度,增加医护人员的谵妄预防知识并提升医护人员的人文关怀意识。

关键词:

安全缝隙, 多重阻断, 谵妄, 重症监护病房

Abstract: Objective To explore the ffects of mutiple blocking model for safety gap in ICU delirium prevention. Methods Patients in the comprehensive ICU of a tertiary first-class hospital in Qingdao from January to October of 2019 were included in the study , and the quasi experimental design was adopted. Through retrospective analysis and interview, the gap factors contributing to ICU delirium were found. And gap blocking measures were formulated based on evidence-based nursing practice. The incidence of delirium before and after gap blocking, the psychological distress degree of family members and doctors and nurses' score of delirium prevention knowledge and humanistic care awareness were compared. Results The delirium incidence after gap blocking was 47.63% ， decreased by 15.31%. Delirium duration was(4.32 +0.67 )days , decreased by(0.85+0.08) days. The psychological distress score of the family members , delirium prevention knowledge and humanistic care awareness score of doctors and nurses were statistically significant(P<0.05). Conclusion The application of multiple blocking model for safety gap can reduce the incidence of delirium in ICU ,reduce the psychological distress degree of family members and improve the knowledge level and humanistie care awareness of medical staff.

Key words:

"> Safety Gap, Muliple Blocking, Delirium, Intensive Care Units

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