大面积烧伤患者发生谵妄实施护理干预的疗效  

Effects of nursing intervention in extensive burn patients with delirium

作　　者：张丹丹[1] 彭爱爱 程丹[1] 吴巍巍[1] 

机构地区：[1]吉林大学第一医院烧伤外科,长春130021

出　　处：《中华现代护理杂志》2016年第6期836-839,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨大面积烧伤患者发生谵妄实施护理干预的有效性。方法选取30例大面积烧伤患者发生谵妄的病例,按照入院日期分为观察组（15例）和对照组（15例）,对照组给予常规护理,观察组实施心理、行为、危险因素控制等干预措施,比较两组患者谵妄的好转率,以及急性生理和慢性健康状况评分（APACHE Ⅱ）、治疗干预评分（TISS）的结果。结果观察组好转率73.33%,对照组好转率33.33%,两组比较差异有统计学意义（χ^2=15.208,P〈0.01）；观察组APACHE Ⅱ、TISS评分优于对照组,差异均有统计学意义（P〈0.05）。结论护理干预的实施,提高了大面积烧伤患者谵妄的好转率,同时改善了患者的预后,值得临床广泛推广和应用。Objective To explore the effects of nursing intervention in extensive burn patients with delirium. Methods A total of 30 extensive burn patients with delirium were divided into observation group （ 15 cases, interventions in control of psychology, behavior, risk factors and so on ） and control group （15cases, routine care ） according to admission date. Then, results were compared between two groups involving improvement rate in delirium, scores of acute physiology and chronic health evaluationⅡ（ APACHEⅡ） and therapeutic intervention scoring system （TISS）. Results The improvement rate was 73. 33% in observation group and 33. 33% in control group with a statistically significant difference （χ^2 =15. 208, P〈0. 01）. Scores of APACHEⅡ and TISS in observation group were better than those in control group, and there were significant differences between two groups （P〈0. 05）. Conclusions The implementation of nursing intervention increases the improvement rate of extensive burn patients with delirium and improves patients prognosis, so it is worthy of clinical promotion and application.

关 键 词：谵妄 烧伤 护理 

分 类 号：R473.6[医药卫生—护理学]