ICU患者谵妄发生状况与影响因素分析  

Analysis of the status of occurrence and influencing factors of delirium in patients with ICU

作　　者：田惠[1] 潘世香[1] 徐向朋 魏翠英 TIAN Hui;PAN Shi-xiang;XU Xiang-peng;WEI Cui-ying

机构地区：[1]青岛大学附属医院西海岸院区重症医学科

出　　处：《护理实践与研究》2019年第20期11-13,共3页Nursing Practice and Research

摘　　要：目的探讨分析发生谵妄的影响因素,为ICU医护人员系统筛查、减少诱发因素提供科学依据。方法选取2017年6月至2018年9月在本院重症监护室(ICU)就诊的88例患者作为研究对象,入院24 h内进行谵妄评估,以是否发生谵妄分为谵妄组和非谵妄组。应用单因素和多因素logistic回归分析确定影响ICU患者谵妄的主要危险因素。结果调查的88例ICU患者中,有34例发生谵妄,谵妄发生率为38.64%。logistic回归分析显示,有糖尿病、高血压病、脑卒中、使用咪达唑仑、使用机械通气是ICU患者发生谵妄的危险因素。结论ICU患者发生谵妄的主要危险因素是糖尿病、高血压病、脑卒中、使用咪达唑仑、使用机械通气。Objective To explore the influencing factors of the occurrence of delirium,and provide a scientific basis for the intensive care unit(ICU)medical staff to systematically screen and reduce the induced factors.Methods We selected 88 cases of patients who were admitted to the ICU from June 2017 to September 2018 as a study object.The assessment of delirium was performed within 24 hours of admission,and they was divided into delirium group and non-delirium group in terms of the occurrence of delirium.Univariate and multivariate logistic regression analyses were used to determine the major risk factors for delirium in patients with ICU.Results In the 88 cases of ICU patients surveyed,34 cases had delirium and the incidence of delirium was 38.64%.Logistic regression analysis showed that diabetes,hypertension,stroke,use of midazolam,and mechanical ventilation were risk factors of delirium in ICU patients.Conclusion The diabetes,hypertension,stroke,use of midazolam,and mechanical ventilation were main risk factors of delirium in ICU patients.

关 键 词：ICU 谵妄 评估 影响因素 

分 类 号：R47[医药卫生—护理学]