集束化干预措施对ICU机械通气患者谵妄的效果

发布时间：2018-10-22 06:44

【摘要】：目的探讨集束化干预措施对ICU机械通气患者谵妄的影响效果。方法按照入科时间,将机械通气患者分为3组,对照组采用危重症监护常规,试验组A引入部分集束化干预措施(ABCD),试验组B实施全部集束化干预措施(ABCDE),比较3组患者的谵妄发生率、机械通气时间、ICU住院时间、ICU治疗费用。结果集束化干预措施实施后,谵妄发生率由原来的40.4%下降至12.7%,机械通气时间、ICU时间分别由(122.34±74.80)h和(10.11±10.62)d缩短到(80.95±48.72)h和(5.98±3.28)d,ICU治疗费用由(2.19±1.17)万元降至(1.53±1.08)万元。干预前后差异有统计学意义(P0.05)。结论 ABCDE集束化干预措施应用于ICU患者谵妄的管理具有一定的效果和安全性,能够降低机械通气患者的谵妄发生率,缩短机械通气时间及ICU住院时间,降低ICU治疗费用,提高了医疗护理内涵。
[Abstract]:Objective to investigate the effect of cluster intervention on delirium in patients with ICU mechanical ventilation. Methods patients with mechanical ventilation were divided into 3 groups according to the time of admission, and the control group was treated with intensive care routine. Group A introduced partial cluster intervention (ABCD), group B implemented total cluster intervention (ABCDE), compared the incidence of delirium mechanical ventilation time of ICU hospitalization time of ICU and cost of ICU treatment in three groups. Results after cluster intervention, the incidence of delirium decreased from 40.4% to 12.7, and the mechanical ventilation time and ICU time were shortened from (122.34 卤74.80) h and (10.11 卤10.62) d to (80.95 卤48.72) h and (5.98 卤3.28) days from (2.19 卤1.17) to (1.53 卤1.08) Yuan respectively. The difference before and after intervention was statistically significant (P0.05). Conclusion ABCDE cluster intervention is effective and safe in the management of delirium in patients with ICU. It can reduce the incidence of delirium in patients with mechanical ventilation, shorten the duration of mechanical ventilation and the hospitalization time of ICU, and reduce the cost of ICU treatment. The connotation of medical care has been improved.
【作者单位】：遵义医学院附属医院重症医学科;遵义医学院附属医院护理部;
【基金】：遵义医学院附属医院硕士科研启动基金资助项目(编号:院字(2014)44号)
【分类号】：R472.2

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