知信行模式下弹性按需探视对ICU患者谵妄发生的影响

doi:10.3761/j.issn.2096-7446.2026.02.003

摘要/Abstract

摘要：

目的探究知信行模式下弹性按需探视干预模式对ICU患者谵妄发生的影响。方法选取2024年12月—2025年3月在合肥市某三级甲等医院ICU治疗的80例患者为研究对象，将其随机分为试验组和对照组各40例。试验组实施知信行模式下弹性按需探视干预模式，对照组实施常规护理，干预前14 d及干预后3、7、14 d后采用ICU谵妄量表比较两组患者的谵妄水平，并在干预前后14 d评估两组患者的护理满意度评分、依从性评分，比较两组患者的护理满意度水平、依从性水平。结果干预后，试验组患者谵妄得分低于对照组（P<0.001），护理依从性高于对照组（P<0.05）；两组患者谵妄得分均下降，且试验组患者满意度得分高于对照组（P<0.001）。两组患者依从性及护理满意度水平均较干预前有所上升。结论基于知信行模式下的弹性按需探视干预应用于ICU患者中，可降低其谵妄水平，提高治疗依从性，提升患者及家属的护理满意度。

关键词: 重症监护病房, 知信行模式, 弹性按需探视, 谵妄

Abstract:

Objective To investigate the effect of flexible on-demand visiting intervention model based on the Knowledge，Attitudes and Practices（KAP） model on the occurrence of delirium in ICU patients. Methods Eighty patients treated in the ICU of the First Affiliated Hospital of Anhui Medical University during the time period of December 2024 to March 2025 were selected as the study subjects，and they were randomly divided into the control group and the experimental group，each with 40 cases. The control group implemented conventional nursing care，and the experimental group implemented the flexible on-demand visiting intervention model based on the KAP model. The ICU delirium scale（CAM-ICU-7） was used to compare the delirium levels of patients in the two groups 14day before and 3day，7day，and 14day after the intervention. And the nursing care satisfaction scores，adherence scores of the two groups were assessed and compared 14day before and after the intervention. Results After the intervention，the delirium score of patients in the experimental group was lower than that of the control group（P<0.001）. The nursing care adherence of patients in the experimental group was higher than that of the control group（P<0.05）. The delirium scores of patients in both groups decreased，and the patient satisfaction score of the experimental group was higher than that of the control group（P<0.001）. The levels of patient adherence and nursing satisfaction increased in both groups compared with the pre-intervention period. Conclusion Flexible on-demand visitation intervention based on the KAP model can reduce delirium level of ICU patients，improve treatment adherence，and thus enhance the nursing satisfaction of patients and their families.

Key words: Intensive Care Unit, KAP Model, Flexible On-Demand Visiting, Delirium

方业香, 韩江英, 杜小玲, 伍珊珊, 李娟, 杨雪. 知信行模式下弹性按需探视对ICU患者谵妄发生的影响[J]. 中华急危重症护理杂志, 2026, 7(2): 148-154.

FANG Yexiang, HAN Jiangying, DU Xiaoling, WU Shanshan, LI Juan, YANG Xue. The influence of flexible on-demand visiting based on the KAP model on the occurrence of delirium in ICU patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 148-154.

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