腹内压力对机械通风患者痴呆风险的影响:关键护理护理实践的考虑
Ghada Shalaby Khalaf Mahran1,2, Magdy Mohammed Mahdy Sayed3, Mohammed M Al-Jabry4
1Department of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt.
Dimensions of critical care nursing : DCCN
|November 26, 2025
概括
腹腔内高血压在机械通风的重症监护病房患者中很常见. 这种情况显著增加了患上妄想症的风险,影响了患者的治疗结果.
科学领域:
- 关键护理医学 关键护理医学
- 外科手术的结果
- 神经科学是一个神经科学.
背景情况:
- 痴呆症和腹腔内高血压是重症监护室中普遍存在和危险的并发症.
- 这些情况显著影响患者的预后和资源利用.
研究的目的:
- 调查机械通风患者的腹内高血压和妄想之间的关联.
- 评估这个患者队伍中腹腔内高血压和妄想的患病率.
主要方法:
- 这是一项前性观察性研究,涉及两个ICU的64名机械通风患者.
- 在通风的第三天使用NEECHAM混量表来评估妄.
- 测量腹腔内压力以评估腹腔内高血压.
主要成果:
- 84.4%的患者患有腹内高血压,75.9%的患者患有妄想症.
- 妄想与更长的机械通风持续时间 (P=0.001) 和ICU停留 (P=0.003) 相关.
结论:
- 腹腔内高血压是机械通风ICU患者的常见并发症.
- 增加的腹内压力与 Delirium 的风险增加有显著的联系.
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