收稿日期: 2024-05-21
网络出版日期: 2025-01-21
基金资助
2022年济南市卫生健康委员会科技计划项目(2022-1-16)
Construction and effect evaluation of subdelirium nursing program for ICU patients
Received date: 2024-05-21
Online published: 2025-01-21
目的 构建基于最佳证据的ICU患者亚谵妄护理方案，并探讨其临床应用效果。方法 在文献分析的基础上构建ICU患者亚谵妄护理方案。采用便利抽样法，选取2023年1月—5月于山东省某三级甲等医院重症医学科收治的58例清醒患者作为试验组，在常规护理基础上实施基于最佳证据的亚谵妄护理方案；将2022年8月—12月收治的61例清醒患者作为对照组，予以常规护理。比较两组患者谵妄和亚谵妄发生率、ICU住院时长及出科时认知功能评分。结果 方案实施后，试验组患者亚谵妄发生率为16.07%，对照组为34.55%，差异有统计学意义（P<0.05）；试验组患者谵妄发生率为7.14%，对照组为20.00%，差异有统计学意义（P<0.05）；试验组患者ICU住院时长为（6.02±4.00） d，对照组为（6.44±4.45） d，差异无统计学意义（P>0.05）；试验组患者出ICU时认知功能评分为（9.09±0.67）分，对照组为（8.31±1.09）分，差异有统计学意义（P<0.001）。结论 基于最佳证据的ICU患者亚谵妄护理方案有助于降低患者谵妄和亚谵妄的发生率、改善其认知功能。
李晓静 , 张晓旭 , 王飞 , 刘晓晓 , 孟宪珍 , 尚文华 . ICU患者亚谵妄护理方案的构建及效果评价研究[J]. 中华急危重症护理杂志, 2025 , 6(2) : 139 -145 . DOI: 10.3761/j.issn.2096-7446.2025.02.002
Objective To establish a subdelirium nursing program for ICU patients based on the best evidence，and explore its clinical application effect. Methods Based on the literature analysis，the subdelirium nursing program for ICU patients was established. Convenience sampling method was used to select 58 patients who were admitted to the intensive care unit in a tertiary class A hospital in Shandong Province from January to May 2023 as the experimental group，who were given the subdelirium nursing program based on the best evidence. Another 61 patients treated from August to December 2022 were taken as the control group and given routine nursing. The delirium rate and subdelirium rate，length of hospital stay and cognitive function score were compared between the two groups. Results After the intervention，the incidence of subdelirium was 16.07% in experimental group and 34.55% in control group，the difference was statistically significant（P<0.05）. The incidence of delirium was 7.14% in experimental group and 20.00% in control group，the difference was statistically significant（P<0.05）. The length of hospital stay was（6.02±4.00） days in experimental group and（6.44±4.45） days in control group，with no statistical significance（P>0.05）. The cognitive function score of the experimental group was（9.09±0.67） points and that of the control group was（8.31±1.09） points，the difference was statistically significant（P<0.001）. Conclusion The subdelirium nursing program based on the best evidence for ICU patients can help to reduce the incidence of delirium，subdelirium and enhance their cognitive function.
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