叙事护理对妄和机械通风ICU患者的结果的影响:一个随机试验
Yan Lei1, Yun Song2, Yongxing Wang3
1Department of Respiration, The Fourth Military Medical University Xijing Hospital, The 986Th Hospital, Xian, 710054, China.
Trials
|November 18, 2025
概括
一个结构化的叙事护理干预措施显著减少了机械通风ICU患者的妄想发病率和持续时间. 这种方法也改善了临床结果和患者满意度,提供了一个有前途的非药物战略.
科学领域:
- 关键护理医学 关键护理医学
- 护理干预 护理干预
- 患者的治疗结果.
背景情况:
- 痴呆症是机械通风ICU患者的常见并发症.
- 现有的妄干预措施存在局限性.
- 需要新的方法来改善ICU患者的护理.
研究的目的:
- 评估结构化叙事护理干预措施在减少妄想时的有效性.
- 评估这种干预对临床结果和患者满意度的影响.
- 确定叙述护理是否是机械通风ICU患者的有效策略.
主要方法:
- 一个单中心随机对照试验与88名机械通风ICU患者进行.
- 患者被分配到标准护理控制组或干预组,每天接受叙事护理课程.
- Delirium 发病率使用 ICU 的混评估方法 (CAM-ICU) 进行评估.
主要成果:
- 干预组的 Delirium 发病率显著降低 (34.1%与63.6%,P < 0.001).
- 叙述性护理缩短了妄想发作和持续时间,减少了ICU停留时间,机械通风持续时间和ICU死亡率.
- 干预组的患者满意度显著更高 (P < 0.001).
结论:
- 结构化的叙事护理有效地减少机械通风ICU患者的妄想发病率和持续时间.
- 该干预措施改善了关键的临床结果,并提高了患者的满意度.
- 建议进一步进行多中心试验,以验证这些发现.
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