摘要
目的 探究集束化护理在预防心外术后患者ICU谵妄中的作用。方法 以2023年2月至2024年8月68例心外术患者为研究对象,随机均分为集束组与一般组,分别以集束化护理及常规护理干预。对比谵妄发生率、ICU相关指标及家属护理满意度。结果 与一般组相比,集束组谵妄发生率更低(8.82%<35.29%)、ICU相关指标较优、护理满意度较高(97.06%>73.53%),对比有统计学差异(P<0.05)。结论 集束化护理可有效预防心外术后患者ICU谵妄,且能进一步促进其康复,提高护理满意度。
关键词: 集束化护理;心外术;ICU;谵妄;护理满意度
Abstract
Objective To explore the role of bundled nursing in preventing ICU delirium in patients after extracardiac surgery. Methods A total of 68 patients with Cardiac surgery from February 2023 to August 2024 were randomly divided into cluster group and general group, and received cluster nursing and routine nursing intervention, respectively. The incidence of delirium, ICU related indexes and nursing satisfaction of family members were compared. Results Compared with the general group, the incidence of delirium in cluster group was lower (8.82% < 35.29%), ICU related indexes were better, and nursing satisfaction was higher (97.06% > 73.53%), with statistical difference (P < 0.05). Conclusion Bundle nursing can effectively prevent ICU delirium in patients after extracardiac surgery, and can further promote their recovery and improve nursing satisfaction.
Key words: Bundle nursing; Extracardiac surgery; ICU; Delirium; Nursing satisfaction
参考文献 References
[1] 顾海雷. 集束化护理预防心脏外科手术患者术后ICU谵妄的效果研究[J]. 医学食疗与健康,2021,19(27):105,107.
[2] 朱丽萍. 浅析集束化护理预防心外术后患者ICU谵妄的应用价值[J]. 医学理论与实践,2019,32(6):898-900.
[3] Fong TG, Inouye SK:The inter-relationship between delirium and dementia: The importance of delirium prevention.Nat Rev Neurol 18 (10):579–596, 2022.
[4] CAI, SHINING, LV, MINZHI, LATOUR, JOS M., et al. Incidence and risk factors of PostopeRativE delirium in intensive care unit patients: A study protocol for the PREDICt study[J]. Journal of advanced nursing,2019,75(11):3068-3077.
[5] 周家梅,徐晓君,钟威,等. ABCDE集束化护理措施在心脏瓣膜置换术后谵妄患者中的应用及效果观察[J]. 护士进修杂志,2021,36(16):1489-1492.
[6] 苏蝶,郑伶俐,龙妍,等. 集束化管理方法预防心脏手术后谵妄的疗效观察[J]. 实用临床护理学电子杂志,2019, 4(2):5-6.
[7] 杜炎泽,张艳,徐曼,等. 心脏术后ICU患者继发谵妄的研究进展[J]. 护理实践与研究,2024,21(5):739-745.
[8] 于美娆. 集束化护理对老年患者接受心脏外科手术后谵妄发生率和住院时间的影响[J]. 中西医结合护理(中英文),2021,7(6):118-120.
[9] TIMOTHY R. ROMANAUSKI, ERIN E. MARTIN, JURAJ SPRUNG, et al. Delirium in Postoperative Patients Admitted to the Intensive Care Unit[J]. The American surgeon., 2018, 84(6):875-880.
[10] 王娟,肖兴米,彭林敏,等. ABCDE集束化护理对心脏瓣膜置换术后患者谵妄和心功能的干预效果[J]. 护理实践与研究,2024,21(2):209-213.