集束化综合护理预防ICU老年患者术后负面情绪障碍的临床研究  

Cluster the comprehensive prevention ICU nursing the patients' negative mood disorder in clinicalresearch

作　　者：逯文巧[1] 刘茜[1] 侯杰[1] 万莹[1] 冯冉[1] 

机构地区：[1]山东中医药大学附属医院重症科,山东250011

出　　处：《国际精神病学杂志》2015年第3期58-61,共4页Journal Of International Psychiatry

摘　　要：目的研究分析集束化综合护理在预防ICU老年患者术后负面情绪障碍上的应用。方法回顾性分析2014年1月1日~2015年1月31日经心外科手术后收治ICU的120例老年患者纳入研究范围,均把患者分成实验组（60例）与对照组（60例）。以常规护理结合集束化综合护理对实验组进行预后管理,对照组则只进行常规护理,记录护理前后数据,比较两组的焦虑评分、抑郁评分以及舒张压、收缩压及心律的变化情况。结果两组患者经术后护理,负面情绪障碍及生理指标均比护理前有所提高,而实验组的焦虑评分及抑郁评分小于对照组（P〈0.05）,实验组的心率、收缩压及舒张压均优于对照组（P〈0.05）。结论集束化综合护理可有效预防ICU老年患者术后负面情绪障碍,改善各项生理指标,值得在临床应用中进一步推广。Objective To analysis of cluster the comprehensive care in elderly patients with postoperative prevention ICU in the application of negative mood disorders. Methods Select on January 1,2014 to January 31,2015,after cardiac surgery in 120 cases of elderly patients of ICU in research scope,the patients randomly divided into experimental group（ 60 cases） and control group（ 60 cases）. With routine nursing in combination with cluster comprehensive care to prognosis of the experimental group management,the control group only routine nursing,nursing record data before and after comparison of two groups of anxiety score,depression score,and the change of diastolic and systolic blood pressure and heart rate. Results Two groups of patients with postoperative nursing,negative mood disorders and physiological indexes than before treatment,the scores of anxiety in the experimental group and depression score is less than the control group（ P〈0. 05）,the experimental group of heart rate and systolic blood pressure and diastolic blood pressure are better than that of control group（ P〈0. 05）. Conclusion Cluster comprehensive care can effectively prevent postoperative ICU elderly patients negative mood disorders,improve the physiological indexes,is worth further promotion in clinical applications.

关 键 词：集束化护理 ICU老年患者 负面情绪障碍 临床研究 

分 类 号：R749[医药卫生—神经病学与精神病学]