影响ICU患者 Delirium 的因素
1Department of Nursing Science, College of Medicine, Chungbuk National University, Cheongju 28644, Republic of Korea.
痴呆症影响了超过一半的ICU患者. 关键预测因素包括限制使用,低意识 (格拉斯哥昏迷量表),ICU停留时间和血液尿素水平,指导护理干预.
科学领域:
- 临界护理医学 临界护理医学
- 护理研究 护理研究
- 老年学是一门学科.
背景情况:
- 痴呆症是重症监护室 (ICU) 中常见且严重的并发症.
- 早期识别和了解妄想预测因素对于有效的护理干预至关重要.
- 现有的关于狂妄症严重程度及其不同ICU人群中的影响因素的数据需要进一步阐明.
研究的目的:
- 使用经过验证的查工具来检查妄想的严重程度.
- 识别和分析妄想的预测因素,包括疼痛,敏度,意识和跌倒风险.
- 为制定护理主导的妄想预防策略提供基础数据.
主要方法:
- 追溯性研究涉及3个重症监护室的165名患者.
- 使用护理 Delirium 查量表 (Nu-DESC) 进行 Delirium 查和严重程度评估.
- 分析了Nu-DESC得分与各种临床变量之间的相关性,包括人口,生理和干预相关因素.
主要成果:
- 在研究人群中,妄想的发病率为53.3%.
- 裸体DESC得分与ICU日,呼吸机日,限制使用,导管插入,镇静剂使用,SAPS III,MFS,GCS,疼痛得分和BUN有显著的相关性.
- 逐步回归确定了限制应用,GCS得分,ICU日,和BUN作为妄的显著独立预测因素.
结论:
- 痴呆症在ICU中非常普遍,并确定了重要的影响因素.
- 使用像Nu-DESC这样的工具进行精确的妄想查对ICU护士至关重要.
- 针对已识别的预测因素,如减少限制和监测GCS和BUN,可以帮助预防和管理妄想.
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