The value of the eCASH strategic nursing model for the prevention of delirium in ICU patients
eCASH策略护理模式对预防ICU患者谵妄的价值

摘要

目的探究ICU患者运用eCASH策略护理模式对谵妄的预防效果。方法 将本次研究对象定为60例，均是2021年9月-12月期间本院ICU患者，经过奇偶数列法划分成2组，ICU护理中参照组运用传统模式，试验组则实施eCASH策略护理模式，对比患者谵妄发生情况、转归情况。结果 试验组有16.67%谵妄发生率、低于参照组的40.00%，试验组成功转科率为93.33%、高于参照组的73.33%，试验组有6.67%死亡率、低于参照组的26.67%，组间差异显著（P＜0.05）。试验组患者比参照组有着更短的ICU停留时间、机械通气时间、谵妄持续时间，组间差异显著（P＜0.05）。结论 eCASH策略护理模式在ICU运用后，能提升患者谵妄预防效果，对预后改善效果也有积极的影响，值得大力推广。

Abstract

Objective To explore the preventive effect of ICU patients using eCASH strategy nursing mode on delirium.
Methods the subjects of this study were 60 ICU patients in our hospital from September to December 2021. They were divided into 2 groups by odd and even column method. In ICU care, the reference group used the traditional mode, and the experimental group used the eCASH strategy nursing mode, and the occurrence and outcome of delirium of patients were compared.
Results The incidence of delirium in the experimental group was 16.67%, which was 40.00% lower than that in the reference group; the successful transfer rate in the experimental group was 93.33%, which was 73.33% higher than that in the reference group; the mortality rate in the experimental group was 6.67%, which was 26.67% lower than that in the reference group, and the difference between groups was significant (P<0.05). The experimental group had shorter ICU stay time, mechanical ventilation time and delirium duration than the control group, and the differences between groups were significant (P<0.05).
Conclusion   eCASH strategy nursing mode can improve the prevention effect of delirium in ICU patients, and has a positive effect on the improvement of prognosis, which is worth promoting.