在5岁以下的重症患者中, Delirium 的发生率和相关因素
Ángela M Henao-Castaño1, Claudia Lorena Motta-Robayo1, Ingrid Tatiana Rojas-Ruiz1
1Faculty of Nursing, Universidad Nacional de Colombia, Bogotá, Colombia.
Journal for specialists in pediatric nursing : JSPN
|June 23, 2023
概括
痴呆症影响到儿童重症监护室 (PICU) 的5岁以下儿童的70%以上,主要是女孩. 较长的ICU停留时间和机械通风是关键的危险因素.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 神经科学是一个神经科学.
- 儿童心理学 儿童心理学
背景情况:
- 痴呆症是儿科重症监护室 (PICU) 的常见并发症.
- 早期发现和治疗妄症对于改善患者的治疗结果至关重要.
- 关于在PICU住院的幼儿 Delirium的发病率和特定风险因素的数据有限.
研究的目的:
- 为了确定进入PICU的5岁以下儿童 Delirium的发病率.
- 为了确定与这种儿科患者群体中 Delirium 的存在相关的因素.
主要方法:
- 使用便利抽样进行前性观察性研究.
- 包括52名在PICU住院的6个月至5岁的患者.
- 应用西班牙语版本的学前混乱评估方法用于重症监护病房 (PSCAM-ICU) 仪器.
- 两变量分析以确定潜在的风险因素.
主要成果:
- 在PICU的5岁以下儿童中,狂妄症的发病率为71.1%,主要是低活性.
- 患有妄想症的儿童更有可能是女性,年轻 (平均31个月),体重较低.
- 潜在的风险因素包括更长的PICU停留时间,机械通风,更高的CO2压力,更低的O2压力,口腔管道输入管道和镇静剂/止痛药.
结论:
- 狂妄症在PICU的幼儿中非常普遍,特别是在年轻女孩和体重较低的儿童中.
- 鉴定的风险因素与现有文献一致,强调需要保持警.
- 在PICU的医疗人员可以利用这些发现来主动预防或及时识别妄症,从而减少其影响.
关键词:
疯狂的 Delirium 是一个很好的方法.儿童患有严重疾病.发生率的发生率.重症监护病房是重症监护病房.纵向研究是一种纵向研究.儿科 儿科 儿科这是一个定量性的定量.有关风险因素的风险因素.更多相关视频
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