危重症患者三级谵妄管理流程的制订及应用效果评价

doi:10.3761/j.issn.0254-1769.2019.03.002

中华护理杂志 ›› 2019, Vol. 54 ›› Issue (3): 332-337.DOI: 10.3761/j.issn.0254-1769.2019.03.002

危重症患者三级谵妄管理流程的制订及应用效果评价

郭慧琦,沈蕴之(),蒋红,胡雁,杨红红,张苗

200040 上海市复旦大学附属华山医院心脏科(郭慧琦,沈蕴之),护理部(蒋红),神经外科(张苗);复旦大学护理学院(胡雁,杨红红)

收稿日期:2018-08-02 出版日期:2019-03-15 发布日期:2019-03-15
通讯作者: 沈蕴之
作者简介:郭慧琦:女,本科,护师,E-mail:guohuiqi@live.cn
基金资助:
基金项目院复旦循证护理中心证据转化与临床应用项目(Fudanbn 201720)

Development and application of the three-stage delirium management process in critical patients

GUO Huiqi,SHEN Yunzhi(),JIANG Hong,HU Yan,YANG Honghong,ZHANG Miao

Nursing Department,Huashan Hospital affiliated to Fudan University,Shanghai,200040,China

Received:2018-08-02 Online:2019-03-15 Published:2019-03-15
Contact: Yunzhi SHEN

摘要/Abstract

摘要：

目的制订危重症患者三级谵妄管理流程并评价其效果。方法基于Devlin等提出的监护室谵妄管理流程和Layne等提出的三级谵妄管理流程,制订危重症患者三级谵妄管理流程的具体内容及实施方法,并评价流程实施后的效果。结果与干预前比较,实施危重症患者三级谵妄管理流程后,ICU谵妄发生率、谵妄持续时间、相关不安全事件发生率、ICU住院时间均有所降低,差异有统计学意义（P<0.05）;护士对ICU谵妄管理的理论和操作水平有明显改善（P<0.05）;患者对护士诊疗服务的满意度得到显著提高（P<0.05）。结论危重症患者三级谵妄管理流程可改善患者的临床结局,提高护士对ICU谵妄管理的知识和技能,提高患者对护理服务的满意度。

关键词: 谵妄, 危重病, 护理管理研究

Abstract:

Objective To formulate the three-stage delirium management process in critical patients and evaluate its effects.Methods Based on Devlin’s delirium management process in ICU and Layne’s three-stage delirium management process,the three-stage delirium management process in critical patients was formulated and implemented. The effects of the three-stage delirium management process in critical patients was evaluated.Results After the implementation of the three-stage delirium management process in critical patients,the incidence of delirium,duration of delirium,incidence of delirium-related unsafe events,length of ICU stay were significantly decreased（P< 0.05）.Nurses’ theoretical knowledge and practicing skills for delirium management were significantly improved（P<0.05）.Patients’ satisfaction with services provided by nurses was significantly improved（P<0.05）.Conclusion The three-stage delirium management process in critical patients can improve clinical outcomes of patients,improve nurses’ knowledge and skills of delirium management,and increase patients’ satisfaction with nursing services.

Key words: Delirium, Critical Illness, Nursing Administration Research

郭慧琦,沈蕴之,蒋红,胡雁,杨红红,张苗. 危重症患者三级谵妄管理流程的制订及应用效果评价[J]. 中华护理杂志, 2019, 54(3): 332-337.

GUO Huiqi,SHEN Yunzhi,JIANG Hong,HU Yan,YANG Honghong,ZHANG Miao. Development and application of the three-stage delirium management process in critical patients[J]. Chinese Journal of Nursing, 2019, 54(3): 332-337.

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危重症患者三级谵妄管理流程的制订及应用效果评价

Development and application of the three-stage delirium management process in critical patients

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