危重症患者ICU综合征发生状况及其影响因素研究  

Investigation of intensive care unit syndrome and its influencing factors

作　　者：董亮[1] 李尊柱[2] 李欣[2] 绳宇[3] 

机构地区：[1]首都医科大学附属北京朝阳医院呼吸科北京,102218 [2]北京协和医院重症医学科 [3]北京协和医学院护理学院基护教研室

出　　处：《护理学杂志》2015年第19期27-31,共5页

摘　　要：目的调查危重症患者ICU综合征的发生率,探讨ICU综合征发生的影响因素。方法便利抽取北京市2所三级甲等医院ICU接受治疗的253例危重症患者,采取一般资料问卷、疾病相关资料调查表、ICU环境压力源量表、A型行为类型量表进行调查,采用ICU意识模糊评估法(CAM-ICU)诊断ICU综合征。结果 74例患者发生ICU综合征,发生率为29.2%。Logistic回归分析显示,ICU综合征的影响因素分别为年龄、使用有创机械通气、ICU住院时间、A型性格、APACHEⅡ评分、ICU的物理环境(P<0.05,P<0.01)。结论危重症患者ICU综合征的发生较为常见。高龄、使用有创机械通气、ICU住院时间长、A型性格、APACHEⅡ评分、物理环境是ICU综合征发生的主要危险因素,护士应针对患者存在的危险因素进行干预,以预防ICU综合征的发生。Objective To investigate the incidence of intensive care unit （ICU） syndrome and its influencing factors. Methods Using convenience sampling, 253 patients in the ICUs of two grade-3 Class-A hospitals in Beijing were recruited to this study. The inf luencing factors of ICU syndrome were measured using a questionnaire on patients＇ general information and a questionnaire on di- sease related information, Intensive Care Unit Environmental Stressor Scale （ICUESS） and Type A Behavior Pattern Scale （TABP）. Patients were tested for ICU syndrome using the Confusion Assessment Method for the ICU （CAM-ICU）. Results Seven- ty-four patients had developed ICU syndrome, accounting for 29.2 % of the total. Logistic regression analysis showed that age, u- sing of invasive mechanical ventilation, length of ICU stay, type A personality, APACHE Ⅱ score and physical environment of the ICU were influencing factors of ICU syndrome. Conclusion ICU syndrome was common in clinical practice. Nursing staff should take targeted measures to prevent the occurrence of ICU syndrome.

关 键 词：重症监护病房 危重症患者 ICU综合征 A型性格 影响因素 

分 类 号：R473.5[医药卫生—护理学]