三段式探视制度对主动脉夹层术后患者谵妄的影响研究  

A Study on the Effect of Three-Stage Visiting System on Reducing Delirium in Patients Undergoing Aortic Dissection Surgery

作　　者：莫玛丽 MO Mali(The Second Nanning People’s Hospital,Nanning,Guangxi 530000)

机构地区：[1]南宁市第二人民医院,广西南宁530000

出　　处：《科技与健康》2023年第2期89-92,共4页Technology and Health

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200727)。

摘　　要：探究了三段式探视制度对减少主动脉夹层术后患者谵妄的影响。选取2020年6月—2022年12月在南宁市第二人民医院胸心血管外科重症监护室住院60例主动脉夹层手术患者,按随机数字表法分组,对照组采用原有的探视制度(30例),实验组采取三段式探视制度(30例),比较2组生化指标、心理应激反应、术后谵妄及院内感染发生情况、恢复状况以及家属投诉事件,并调查护理满意度。结果显示,实验组患者干预后氧合指数(PaO2/FiO2)及钾离子(K+)含量均高于对照组,其钠离子(Na+)、超敏C反应蛋白(hs-CRP)水平明显低于对照组(P<0.05);实验组干预后焦虑自评量表(SAS)、恐惧视觉模拟评分(FAVS)及汉密尔顿抑郁量表(HAMD)评分均低于对照组(P<0.05);两组院内感染发生率比较(P>0.05);实验组谵妄发生率低于对照组(P<0.05)。研究发现,三段式探视制度用于临床主动脉夹层术后患者中,可有效改善各项生化指标,降低其谵妄及家属投诉事件发生率。This paper explored the impact of a three-stage visiting system on reducing delirium in patients after aortic dissection surgery.From June 2020 to December 2022,60 patients with aortic dissection who were hospitalized in the Thoracic Cardiovascular Surgery Intensive Care Unit of Nanning Second People’s Hospital were divided into groups according to the random number table method.The control group used the original visiting system(30 cases),and the experimental group used the three-stage visiting system(30 cases).Biochemical indicators,psychological stress reaction,postoperative delirium and hospital infection,recovery status,and family complaints were compared between the two groups,And investigate nursing satisfaction.The results showed that the oxygenation index(PaO2/FiO2)and potassium ion(K+)content of the experimental group were higher than those of the control group after intervention,while the levels of sodium ion(Na+)and hypersensitive C-reactive protein(hs CRP)were significantly lower than those of the control group(P<0.05).After intervention,the scores of the Self Rating Anxiety Scale(SAS),Fear Visual Simulation Scale(FAVS),and Hamilton Depression Scale(HAMD)in the experimental group were lower than those in the control group(P<0.05).Comparison of the incidence of hospital infections between the two groups,P>0.05;The incidence of delirium in the experimental group was lower than that in the control group,P<0.05.The duration of delirium,mechanical ventilation,and ICU treatment in the experimental group were shorter than those in the control group,P<0.05.Research has found that the three-stage visitation system can effectively improve various biochemical indicators and reduce the incidence of delirium and family complaints in patients after clinical aortic dissection surgery.

关 键 词：三段式探视制度 主动脉夹层 术后谵妄 家属投诉事件 院内感染 

分 类 号：R473.6[医药卫生—护理学]