ICU探视制度对酒精戒断综合征患者临床症状和不良反应的影响  

The impact of visiting policy on symptoms and complications in patients with Alcohol Withdrawal Syndrome in Intensive Care Unit

作　　者：邓艳丽[1] 李梅华[1] 

机构地区：[1]郴州市第一人民医院重症医学科,湖南省423000

出　　处：《中国护理管理》2016年第7期949-952,共4页Chinese Nursing Management

摘　　要：目的:调查半开放式和封闭式探视模式对酒精戒断综合征(AWS)患者临床症状和不良反应的影响。方法:45例AWS患者随机分为半开放式组(n=28)和封闭式组(n=17)。比较两组患者主要临床表现和不良反应。结果:半开放式组3d的谵妄CAM-ICU评分低于封闭式组(P<0.05),7d的AWS评定量表评分、谵妄CAMICU评分、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分均低于封闭式组(P<0.05)。半开放式组住ICU时间、AWS持续时间、镇静药用量和伤人及自残倾向发生率低于封闭式组(P<0.05)。两组的医院感染率无统计学差异(P>0.05)。结论:半开放式探视有利于缓解AWS病情,降低不良反应的发生,而不增加医院感染率,可为探索未来ICU探视制度提供借鉴。Objective： To investigate the different impact of half-open and restricted visiting policy on symptoms and complications in patients with alcohol withdrawal syndrome （AWS）. Methods： Forty-ifve patients with AWS were divided into half-open group （n=28） and restricted group （n=17）. Clinical symptoms and adverse reaction between two groups were compared. Results： CAM-ICU score on day 3 in half-open group was signiifcantly lower than restricted group （P〈0.05）, and AWS scale score, CAM-ICU score, SDS score and SAS score on day 7 in half-open group were also signiifcantly lower than restricted group （P〈0.05）. In half-open group, ICU stay, AWS duration, and usage of sedative drugs were signiifcantly lower compared to restricted group （P〈0.05）, while there was no difference of hospital acquired infection rate. The occurrence of injury and suicidal ideation in half-open group was signiifcanty lower compared to restricted group. Conclusions： Half-open visiting policy could improve the state of AWS, decrease the occurrence of accidents, but have no effect on hospital infection. It can be used as reference in terms of creating visiting policy in ICU in future.

关 键 词：探视制度 酒精戒断综合征 重症监护病房 

分 类 号：R47[医药卫生—护理学]