耳穴贴压疗法对ICU谵妄患者ICU意识模糊评分、Richmond躁动-镇静评分的影响  

Effect of auricular point pressing therapy on scores of Confusion Assessment Method for Intensive Care Unit and Richmond Agitation-Sedation Scale in patients with delirium in ICU

作　　者：邵英英[1] 陈莉芳[1] 林凡菊[1] 张雅萍[1] SHAO Yingyin;CHEN Lifang;LIN Fanju;ZHANG Yaping(Intensive Care Unit,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,201203)

机构地区：[1]上海中医药大学附属曙光医院重症监护室

出　　处：《实用临床医药杂志》2020年第2期41-44,共4页Journal of Clinical Medicine in Practice

基　　金：上海中医药大学附属曙光医院护理科研课题(2019SGHL02)

摘　　要：目的探讨耳穴贴压疗法对重症监护病房(ICU)谵妄患者ICU意识模糊(CAM-ICU)评分、Richmond躁动-镇静(RASS)评分的影响。方法选取本院ICU谵妄患者86例,随机分为2组各43例。对照组接受常规治疗,观察组在常规治疗基础上采取耳穴贴压疗法。比较2组治疗前后CAM-ICU评分、RASS评分、匹兹堡睡眠质量(PSQI)评分、谵妄持续时间、ICU住院时间及不良反应发生情况。结果治疗7 d后,观察组谵妄患者比例为53.49%(23/43),低于对照组的79.07%(34/43),差异有统计学意义(P<0.05)。观察组RASS评分、PSQI各项评分显著低于对照组(P<0.05)。观察组谵妄持续时间、ICU住院时间显著短于对照组(P<0.05)。2组不良反应发生率比较无显著差异(P>0.05)。结论耳穴贴压疗法可有效改善ICU谵妄患者意识状态、躁动症状及睡眠质量,缩短谵妄持续时间,促进患者恢复。Objective To explore the effects of auricular point pressing therapy on the scores of Confusion Assessment Method for Intensive Care Unit(CAM-ICU)and Richmond Agitation-Sedation Scale(RASS)in patients with delirium in ICU.Methods Eighty-six patients with delirium in ICU in authors′hospital were selected and randomly divided into two groups,with 43 cases in each group.The control group was treated with routine treatment,while the observation group was treated with auricular point pressing therapy based on routine treatment.The scores of CAM-ICU,RASS,Pittsburgh Sleep Quality Index(PSQI)before and after treatment,duration of delirium,length of ICU stay and adverse reactions were compared between the two groups.Results After 7 days of treatment,the proportion of delirium patients in the observation group was 53.49%(23/43),which was significantly lower than 79.07%(34/43)in the control group(P<0.05).The RASS score and score of each item of PSQI in the observation group were significantly lower than those of the control group(P<0.05).The duration of delirium and length of ICU stay in the observation group were significantly shorter than those of the control group(P<0.05).There was no significant difference in the total incidence rate of adverse reactions between the two groups(P>0.05).Conclusion Auricular point pressing therapy can effectively improve the consciousness state,agitation symptoms and sleep quality of patients with delirium in ICU,shorten the duration of delirium,and promote the recovery of patients.

关 键 词：耳穴贴压疗法 重症监护病房 ICU意识模糊评分 Richmond躁动-镇静评分 

分 类 号：R473.74[医药卫生—护理学]