早期集束化护理干预对ICU老年患者术后谵妄转归及心理健康的影响

Effect of early cluster nursing intervention on postoperative delirium outcome and mental health in ICU elderly patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(6)
作者
作者单位

陕西省咸阳市第一人民医院 ;
陕西省咸阳市第一人民医院 ;

摘要
【摘要】目的:探究早期集束化护理干预对ICU老年患者术后谵妄转归及心理健康的影响。方法:选择我院2013年6月~2014年6月手术后收入ICU并发谵妄的老年患者100例,随机分为观察组(50例)及对照组(50例),对照组采用常规护理干预措施,在此基础上观察组增加早期集束化护理干预。出ICU时使用症状自评量表(SCL-90)对患者进行心理健康评估,采用CAM-ICU量表进行谵妄评估。结果:护理后观察组SCL-90各维度评分均显著低于对照组(P<0.05);护理后观察组谵妄有效率显著高于对照组(P=0.00,χ2=9.45)。结论:早期集束化护理干预可有效改善老年ICU患者谵妄的转归及心理健康,值得临床推广使用。
Abstract
[Abstract]Objective: Study effect of early cluster nursing intervention on postoperative delirium outcome and mental health in elderly patients with ICU. Methods: Chose 100 elderly patients with ICU delirium after the end of the operation in our hospital from June 2013 to June 2014, they were randomly divided into observation group (50 cases) and control group (50 cases). The control group was treated with routine nursing intervention , on the basis of which the observation group used early cluster nursing intervention. Mental health assessment was performed using the Symptom Checklist (SCL-90), and the use of the CAM-ICU scale for delirium assessment. Results: The scores of SCL-90 in the observation group were significantly lower than those in the control group (P <0.05). The improvement rate and cure rate of the treatment group were significantly higher than those of the control group(P=0.00,χ2=9.45). Conclusion: Early cluster nursing intervention can effectively improve the outcome of delirium in elderly patients with ICU and mental health, and is worthy of clinical use.
关键词
【关键词】早期集束化护理;ICU老年患者;谵妄;心理健康
KeyWord
[Key words] early cluster care; ICU elderly patients; delirium; mental health
基金项目
页码 1112-1115
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马媛,张妮*, 袁亚迎,龙艳,王引侠. 早期集束化护理干预对ICU老年患者术后谵妄转归及心理健康的影响 [J]. 国际精神病学杂志. 2018; 45; (6). 1112 - 1115.

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