在手术重症监护室中 Delirium 亚型的患病率和危险因素:一项回顾性研究
1Nursing Department, Seoul National University Hospital, Seoul, Korea.
Journal of clinical nursing
|July 11, 2025
概括
混合妄想在术后ICU患者中最常见,其次是低活性和高活性形式. 确定特定亚型的风险因素有助于针对重症监护室妄的有针对性的预防和管理策略.
科学领域:
- 关键护理医学 关键护理医学
- 神经学 神经学
- 老年病的医生 老年病的医生
背景情况:
- 狂妄症是一种常见的,经常在重症监护室 (ICU) 诊断不足的疾病,特别是在术后患者中.
- 妄想有三个亚型:过活跃,低活跃和混合,每个都有独特的临床特征和结果.
- 了解每个狂妄症亚型的患病率和风险因素对于改善ICU患者护理至关重要.
研究的目的:
- 为了确定手术后的ICU患者中过度活跃,低活跃和混合 Delirium 亚型的患病率.
- 为了确定与每个狂妄症亚型相关的特定风险因素.
- 在ICU环境中为痴呆症提供有针对性的预防和管理策略的信息.
主要方法:
- 在2017年1月至2019年6月期间,对4234名入院于手术ICU的术后患者进行了回顾性研究.
- 使用ICU的混乱评估方法 (CAM-ICU) 诊断狂妄症;通过里士满兴奋镇静量表 (RASS) 评分来确定亚型.
- 多变量逻辑回归分析,以确定每个妄想亚型的风险因素,遵守STROBE指南.
主要成果:
- Delirium 的总体患病率为 8.7%.
- 混合妄想是最常见的亚型 (47.7%),其次是低活性 (40.3%) 和高活性 (12.0%).
- 风险因素因亚型而异:低活性妄想与更短的ICU停留和pH/O2不平衡有关;对身体限制过度活跃;与镇静剂和限制剂混合.
结论:
- 混合妄想是术后ICU患者中最常见的亚型,这强调了对亚型特定护理的需要.
- 每种狂妄症亚型的不同风险因素需要量身定制的预防和管理方法.
- 对潜在机制的进一步研究和分型特定干预措施的开发是有必要的,以改善ICU患者的治疗结果.
关键词:
妄想症的亚型 妄想症的亚型过度活跃的狂妄症过度活跃的狂妄症过低活动性妄想症 (hypoactive delirium) 是一种过低活动性妄想症.重症监护病房的重症监护病房是一个重症监护病房.混合妄想混合妄想患病率的流行情况.有关风险因素的风险因素.更多相关视频
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