集束化护理干预对老年痴呆患者谵妄的预防效果研究  

A study on the effectiveness of care bundle intervention on the prevention of delirium in alzheimer′s patients

作　　者：范洁[1] 张建平[1] 刘春霞[1] 杨水仙[1] Fan Jie;Zhang Jianping;Liu Chunxia;Yang Shuixian(Department of Neurology, Shangqiu First People′s Hospital, Shangqiu Henan 476100, China)

机构地区：[1]商丘市第一人民医院神经内科,河南商丘476100

出　　处：《保健医学研究与实践》2022年第1期114-117,共4页Health Medicine Research and Practice

基　　金：河南省医学科技攻关计划项目(LHGJ20200934)。

摘　　要：目的探讨集束化护理干预对老年痴呆患者谵妄的预防效果。方法选取2019年1月—2021年6月商丘市某医院收治的120例老年痴呆伴发谵妄患者为研究对象,采用随机数字表法分为对照组和观察组,各60例。对照组患者给予常规护理干预,观察组患者给予集束化护理干预,2组患者均持续护理6个月。比较2组患者谵妄发生情况及谵妄持续时间,比较2组患者护理前后的生活质量。结果对照组患者的谵妄发生率为16.67%(10/60),明显高于观察组的8.33%(5/60),差异有统计学意义(χ^(2)=5.485,P=0.023);观察组患者的谵妄持续时间为(2.18±1.36)min,明显短于对照组的(5.24±2.58)min,差异有统计学意义(t=8.127,P<0.001)。护理前,2组患者躯体功能、社会交际能力、机体活动能力、心理情绪评分比较,差异均无统计学意义(P>0.05);护理后,2组患者躯体功能、社会交际能力、机体活动能力、心理情绪评分均高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论集束化护理干预可降低老年痴呆患者谵妄发生率,缩短谵妄持续时间,提高患者生活质量,具有临床推广价值。Objective To explore the prevention effect of care bundle intervention on delirium in patients with dementia.Methods One hundred and twenty patients with Alzheimer′s disease accompanied by delirium who were treated in a hospital in Shangqiu city from January 2019 to June 2021 were selected as study subjects and divided into a control group and an observation group according to the random number table method,with 60 cases each.The patients in the control group were given conventional nursing interventions,while the observation group was given care bundle interventions,and the patients in both groups were continuously nursed for 6 months.The occurrence of delirium and the duration of delirium in the two groups were compared,and the quality of life of the patients in the two groups before and after care was compared.Results The incidence of delirium in the control group was 16.67%(10/60),which was higher than that in the observation group(8.33%,5/60),and the difference was statistically significant(χ^(2)=5.485,P=0.023);the duration of delirium in the observation group was(2.18±1.36)min,which was significantly shorter than that in the control group[(5.24±2.58)min],and the difference was statistically significant(t=8.127,P<0.001).Before care,there was no statistically significant difference in the scores of somatic function,social communicative ability,physical activity,and psycho-emotional scores between the 2 groups of patients(P>0.05).After nursing care,the scores of somatic function,social communicative ability,organism activity ability,and psycho-emotional scores of patients in the 2 groups were higher than those before nursing care and higher in the observation group than in the control group,with statistically significant differences(P<0.05).Conclusion Care bundle intervention can reduce the incidence of delirium,shorten the duration of delirium and improve the quality of life of patients with dementia,and deserves clinical promotion.

关 键 词：老年痴呆 集束化 干预 谵妄 早期预防 

分 类 号：R473[医药卫生—护理学]