环境干预对重症手术患者妄的影响
Hak-Jae Lee1, Yoon-Joong Jung2, Nak-Joon Choi3
1Division of Acute Care Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
环境干预措施显著减少了手术患者的妄想持续时间和重症监护室 (ICU) 停留时间. 这项研究突出了环境因素对ICU患者康复的影响.
科学领域:
- 临界护理医学 临界护理医学
- 环境健康 环境健康
- 外科手术患者的结果
背景情况:
- 痴呆症在重症监护室 (ICU) 普遍存在,增加了患者的发病率和死亡率.
- 环境因素显著影响患者的康复和妄想发病率.
研究的目的:
- 调查环境干预措施对手术ICU患者妄的影响.
- 为了评估经过环境修改后妄发病率,持续时间和发病的变化.
主要方法:
- 在干预前和干预后期间对192名手术ICU患者进行前性队列研究.
- 环境干预包括认知评估,定位和睡眠优化.
- 主要结局:妄想的发生率,持续时间和发作.
主要成果:
- 痴呆症发生率,发病时间或死亡率没有显著差异.
- 痴呆的持续时间从14.4天显著减少到7.7天 (P=0.027).
- 手术ICU停留时间从20.0天显著减少到12.6天 (P=0.030).
结论:
- 环境干预计划有效地减少了重症手术患者的妄想持续时间.
- 这些干预措施还缩短了在外科ICU停留的时间.
- 优化ICU环境对于改善患者治疗结果至关重要.
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