非药物干预方案在ICU谵妄患儿中的应用研究  

Study on the application of non-drug intervention program in children with delirium in ICU

作　　者：曾频 欧阳敏 魏清风[3] 宋夏燕 ZENG Pin;OUYANG Min;WEI Qing-feng;SONG Xia-yan(Pediatric ICU of Jiangxi Provincial Children's Hospital,Nanchang,Jiangxi 330006;Anyuan People's Hospital,Anyuan,Jiangxi 342100;Jiangxi Cancer Hospital,Nanchang,Jiangxi 330029)

机构地区：[1]江西省儿童医院小儿重症监护室,江西南昌330006 [2]安远县人民医院,江西安远342100 [3]江西省肿瘤医院,江西南昌330029

出　　处：《赣南医学院学报》2023年第7期719-726,共8页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：江西省卫生健康委员会科技计划项目(202311062)。

摘　　要：目的:探讨非药物干预方案对重症监护病房(Intensive care unit,ICU)患儿谵妄发生率及严重程度的影响。方法:选取2022年8月—2023年1月入住江西省儿童医院小儿重症监护室的156例患儿为研究对象,按照入院先后顺序分为对照组(78例)和观察组(78例)。对照组实施常规护理干预,观察组实施ICU谵妄患儿非药物干预护理方案。比较两组患儿谵妄发生率、谵妄持续时间、非计划性拔管率、呼吸机辅助通气时间及ICU住院时间。结果:观察组患儿谵妄发生率低于对照组,差异有统计学意义(P<0.05);观察组患儿中高危类导管意外拔管率低于对照组;差异有统计学意义(P<0.05);两组患儿谵妄持续时间、呼吸机辅助通气时间及ICU住院时间比较,差异均无统计学意义(P均>0.05)。结论:实施谵妄非药物干预方案可有效降低重症患儿谵妄水平,降低中高危导管非计划性拔管率,但对呼吸机辅助通气时间、ICU住院时间影响较小。Objective:To explore the effect of non-drug intervention on occurrence rate and severity in children with delirium in ICU.Methods:A total of 156 children admitted to the intensive care unit of Jiangxi Provincial Children's Hospital from August 2022 to January 2023 were divided into control group(n=78)and experimental group(n=78)according to the order of admission.The control group received routine nursing intervention,and the observation group received non-drug intervention nursing program for children with ICU delirium.The incidence of delirium,the duration of delirium,the rate of unplanned extubation,the time of ventilator-assisted ventilation and the hospitalization time of ICU were compared between the two groups.Results:The incidence of delirium in the experimental group was significantly lower than that in the control group(P<0.05).The accidental extubation rate of high-risk catheters in the experimental group was lower than that in the control group.The difference was statistically significant(P<0.05).There was no significant difference in the duration of delirium,ventilator-assisted ventilation time and ICU hospitalization time between the two groups(mean P>0.05).Conclusion:The implementation of delirium non-drug intervention program can effectively reduce the level of delirium and the unplanned extubation rate of medium-risk and high-risk catheter,but the effect on ventilator-assisted ventilation time and ICU hospital stay is relatively less.

关 键 词：重症监护病房 谵妄 儿童 德尔菲专家函询法 非药物干预 护理实践 

分 类 号：R473.72[医药卫生—护理学]