| Abstract |
[Abstract] Objective To explore the risk factors of early delirium after percutaneous coronary intervention (PCI) in patients with acute coronary syndrome (ACS) and discuss targeted preventive and nursing strategies. Methods A total of 132 patients with ACS in our hospital from January 2020 to January 2021 were selected as the study subjects, and all of whom were treated with PCI. The occurrence of delirium during CCU treatment were evaluated, and they were set as the delirium group and the non-delirium group. The general data such as gender, age and comorbidities of the two groups of patients were compared. The risk factors of early delirium after PCI were investigated through univariate and multivariate analysis. Results 36 cases of delirium occurred early after PCI in 132 ACS patients, with an incidence rate of 27.27%. There are differences between the delirium group and the non-delirium group in age, combined with hypoxemia, combined with sleep disorders, combined with anxiety, criminal vessel count, use of benzodiazepines, operation time, preoperative cardiac function classification, and history of cardiac arrest Statistical significance (P<0.05). There was no statistically significant difference in whether the two groups were emergency PCI, gender, combined diabetes, combined hypertension, and smoking history (P>0.05). Multivariate logistic regression analysis showed that combined sleep disorders, hypoxemia, anxiety, age> 70 years, multivessel disease, and use of benzodiazepines were risk factors for early delirium after PCI. Conclusion The incidence of early delirium after PCI is relatively high, and risk factors include sleep disorders, hypoxemia, anxiety, etc. Therefore, targeted preventive care measures should be implemented to reduce the incidence of delirium.
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