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

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