APACHEⅡ评分在老年慢性阻塞性肺疾病急性加重期伴谵妄患者护理中的应用  

Application of APACHE Ⅱ scoring system in nursing care of elderly patients with acute exacerbation of chronic obstructive pulmonary disease combined with delirium

作　　者：孙建兰[1] 周洪兰[2] 

机构地区：[1]江苏省连云港市第二人民医院ICU,222023 [2]江苏省连云港市第二人民医院脑外科,江苏连云港222023

出　　处：《中西医结合护理（中英文）》2016年第5期38-40,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨APACHEⅡ评分在老年慢性阻塞性肺疾病(COPD)急性加重期伴谵妄患者护理中的应用效果。方法老年COPD急性加重期伴谵妄患者62例随机分为观察组和对照组,各31例。对照组给予常规护理,观察组结合APACHEⅡ评分实施ICU小组护理干预。比较2组临床治疗效果、病死率、ICU时间、机械通气时间、住院时间及护理满意度。结果 2组病死率差异无统计学意义(P>0.05);观察组并发症发生率低于对照组(P<0.01),ICU时间、机械通气时间、平均住院时间均短于对照组(P<0.05或P<0.01);护理满意度观察组为96.77%,显著高于对照组的70.96%(P<0.01)。结论依据APACHEⅡ评分分析老年COPD急性加重期伴谵妄患者护理风险并给予对应护理干预,能有效减少并发症风险,提高危重症护理质量。Objective To evaluate the effect of APACHE II scoring system in nursing care of elderly patients with acute exacerbation of chronic obstructive pulmonary disease （COPD） combined with delirium. Methods A total of 62 elderly patients with acute exacerbation of COPD combined with delirium were randomly divided into the observation group and the control group, with 31 cases in each group. The control group was given routine nursing, and the observation group was given ICU grouped nursing intervention according to APACHE II score of patients. The clinical curative effect, the mortality ra te , time in ICU, duration of mechanical ventilation, length of stay and satisfaction rate of nursing care were compared between two groups. Results There was no significant difference in mortality rate between two groups （ P 〉 0 . 0 5 ） . The observation group had a lower incidence of compli-cation （P 〈0. 01） , shorter time in ICU, shorter duration of mechanical ventilation and shorter length of stay compared with the control group （ P 〈 0. 05 or P 〈 0. 01 ） . The nursing satisfaction rate was 96. 77% in the observation and was 70. 96% in the control group, with a significant difference （ P 〈 0.01）. Conclusion Nursing risk assessment based on the APACHE II score of elderly patients with acute exacerbation COPD combined delirium is highly recommend. It can reduce risk of complication and average length of stay, and to improve ICU nursing quality.

关 键 词：APACHEⅡ评分 慢性阻塞性肺疾病 谵妄 护理干预 

分 类 号：R473.5[医药卫生—护理学]