重症病人术后并发精神障碍的临床分析及护理  

Clinical Analysis of Patients in Serious Condition Complicated with Psychological Disturbance and Their Nursing Care

作　　者：毕越英[1] 田静[1] 王惠燕 李剑铮 

机构地区：[1]中国人民解放军北京军区总医院ICU,北京100700

出　　处：《护理学杂志（综合版）》1997年第4期197-199,共3页Journal of Nursing Science

摘　　要：按照Huse－Kleinstoll术后精神反应11项的临床分型和表现[1]，我们对重症病人并发精神障碍的临床资料进行了分析。结果表明：手术因素、药物影响、术后并发症所致脑缺氧是并发精神障碍的物质基础，电解质紊乱、护理不当是主要诱因。总结了加强术前心理护理、减少术后不良刺激、加强血气及电解质的监测等防治方法和护理对策。Clinical analysis was conducted post -operatively on patients in serious condition complicated with peychological disturbance by using Huse-Kleinstoll technique. Our results showed that surgery,drugs, brain ischemia due to post-operative complications were ascrital to the psychological disturbance and electroyte disorder and mishandling in nursing care were triggering factors for the psychological disturbance.Preventive measures such as pre-oprative psychological nursing care,minimizing the adverse stimulation, monitoring blood gases and electrolytes are discussed in the paper.

关 键 词：重症病人 精神障碍 护理 

分 类 号：R605.97[医药卫生—急诊医学] R473.6[医药卫生—外科学]