谵妄流程管理在ICU机械通气患者中的应用  

Application of process management of delirium to patients with mechanical ventilation in ICU

作　　者：冯洁惠[1] 徐建宁[2] 尹慧芳[1] 陈瑜[1] 叶爱丽[1] 应晶晶[1] 孙丹萍[1] 翁蕊[1] 

机构地区：[1]浙江大学医学院附属第一医院,浙江杭州310003 [2]浙江中医药大学护理学院

出　　处：《齐鲁护理杂志》2013年第15期4-7,共4页Journal of Qilu Nursing

摘　　要：目的:探讨谵妄流程管理在ICU机械通气(MV)患者中的应用方法及临床效果。方法:将156例MV患者随机分为对照组75例和干预组81例。对照组采用常规谵妄管理,干预组采用谵妄流程管理。比较两组管理效果。结果:两组镇痛镇静药物用量、MV时间、ICU住院日、总住院日及谵妄发生率等比较差异均有统计学意义(P<0.01,P<0.05)。结论:谵妄流程管理能优化MV患者的临床效果,缩短住院时间,值得推广应用。Objective：To explore the application method of process management of delirium to patients with mechanical ventilation （MV） in ICU and to investigate the clinical effect. Methods ：156 patients with MV were randomly divided into the control group （n = 75 ） and the intervention group （ n = 81 ）. The conventional management of delirium was used in the control group and the process management of delirium was applied in the intervention group, the management effects were compared between the two groups. Results：There were sta- tistically significant differences in the comparison of the dosage of sedative and analgesic drugs, MV time, length of stay in ICU, hospitaliza- tion days and the incidence of delirium between the two groups （ P 〈 0. 01, P 〈 0.05 ）. Conclusion：The process management of delirium can optimize the clinical effect and shorten the time of hospitalization.

关 键 词：谵妄 流程管理 ICU 机械通气 

分 类 号：R473.5[医药卫生—护理学]