摘要
目的 评估疼痛护理干预对ICU重症患者谵妄发生情况的影响,探讨疼痛因子在谵妄发生中的作用。方法 选择2022年3月至2023年3月收治的ICU重症患者60例作为研究对象,将其按照随机数字表法分为对照组(n=30例,常规护理)与实验组(n=30例,疼痛护理)。对比两组患者谵妄发生率、谵妄持续时间、疼痛情况以及心理状态。结果 实验组谵妄发生率、谵妄持续时间、VAS评分、SAS、SDS评分均低于对照组,组间差异有统计学意义(P<0.05)。结论 疼痛护理干预对ICU重症患者谵妄发生情况具有显著影响,能有效降低谵妄的发生率,缓解患者疼痛。
关键词: 疼痛护理干预;ICU重症患者;谵妄;疼痛因子
Abstract
Objective To evaluate the impact of pain nursing intervention on the occurrence of delirium in critically ill ICU patients and explore the role of pain factors in delirium occurrence. Methods Sixty ICU critically ill patients admitted from March 2022 to March 2023 were selected as the study subjects. They were randomly divided into a control group (n=30 cases, routine care) and an experimental group (n=30 cases, pain care) using a random number table method. Compare the incidence, duration, pain, and psychological status of delirium between two groups of patients. Results The incidence, duration, VAS score, SAS, and SDS scores of delirium in the experimental group were lower than those in the control group, and the differences between the groups were statistically significant (P<0.05). Conclusion Pain nursing intervention has a significant impact on the incidence of delirium in critically ill ICU patients, and can effectively reduce the incidence of delirium and alleviate patient pain.
Key words: Pain nursing intervention; ICU critically ill patients; Delirium; Pain factors
参考文献 References
[1] 王懿宁,刘文婷. 疼痛护理干预对ICU重症患者谵妄发生情况、疼痛因子的影响[J]. 中外医疗,2023,42(30): 133-136.
[2] 宋玉华,苗运敏. 疼痛护理干预对ICU重症患者谵妄发生情况、疼痛因子、应激因子的影响[J]. 当代护士(中旬刊),2022,29(8):56-58.
[3] 齐丽娟,李敏,杨标. 以CPOT评分导向的护理干预对机械通气患者谵妄的防控价值[J]. 中国医药导报,2023, 20(13): 189-192.
[4] 秦运俭,李颖,陈剑琴,等. 基于预防重症患者谵妄发生的最佳疼痛控制目标研究[J]. 中华危重病急救医学, 2021, 33(1):84-88.
[5] 强健. 音乐干预对ICU行机械通气患者发生谵妄的影响[J]. 中国乡村医药,2022,29(20):8-9.
[6] 陈瑜,邢红叶,许兆军,等. ABCDEF集束化护理策略对心脏外科术后谵妄发生率和持续时间的影响[J]. 中华全科医学,2023,21(4):709-712,716.
[7] 杨细妹,邓新征,王金华,等. 程序化护理管理模式对降低ICU患者谵妄发生率的影响[J]. 齐鲁护理杂志,2021, 27(3):49-52.
[8] 张山,崔薇,吴瑛. ICU成年患者疼痛、躁动/镇静、谵妄、活动受限和睡眠紊乱预防及处理指南"谵妄部分"解读[J]. 中国现代医生,2022,60(36):116-119.