动态妄想 - - 护理干预以减少重症患者的妄想,这是一个随机对照试验
Luz Omaira Gómez Tovar1, Angela Maria Henao Castaño2
1Universidad Surcolombiana, Neiva, Colombia.
Intensive & critical care nursing
|March 22, 2024
概括
作为一种非药物学方法的DyDel干预措施,显著减少了重症监护病人的妄想发病率和持续时间. 这种护理,包括家庭,解决了患者的需要,以获得更好的结果.
科学领域:
- 护理科学 护理科学
- 关键护理医学 关键护理医学
- 症状管理 症状管理
背景情况:
- 妄想是重症监护室 (ICU) 中常见的并发症.
- 现有的护理方案可能无法完全满足患有妄想症的ICU患者的多方面的需求.
- 动态症状模型 (DSM) 提供了一个理解和管理复杂患者症状的框架.
研究的目的:
- 评估Dydel护理干预措施在减少妄想发病率和持续时间方面的有效性.
- 为了将Dydel干预与ICU中的标准日常护理进行比较.
- 评估二次结果,包括镇静,疼痛,机械通风,ICU停留和身体限制使用.
主要方法:
- 一个双面罩,平行组临床试验与213名成年ICU患者进行.
- 患者被随机分配到Dydel干预组或接受日常护理的对照组.
- 基于DSM和科学证据的Dydel干预,每班都进行,直到ICU退院.
主要成果:
- 与对照组 (14.8%) 相比,Dydel干预组的 Delirium 发病率显著降低 (5.6%).
- 接受DyDel治疗的患者经历的 Delirium 天数较少 (0.07 vs 0.34 天).
- 干预组还报告了较低的疼痛强度和较少的需要身体约束的日子.
结论:
- 像DyDel这样的非药理护理干预措施,可以整合家庭并解决整体患者需求,可以有效地减少成年ICU中的妄想.
- 迪德尔通过专注于患者福祉的生理,心理,精神和社会方面,为重症监护提供了人性化的方法.
- DyDel的干预表明了护士改善ICU环境中的患者护理和结果的潜力.
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