三级谵妄干预管理流程对PICU患儿谵妄发生率及睡眠的影响效果  

Effect of Tertiary Delirium Intervention Management Procedure on Delirium Incidence and Sleep in Children with PICU

作　　者：童阿英 廖英真 TONG Aying;LIAO Yingzhen(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,厦门361000

出　　处：《世界睡眠医学杂志》2024年第8期1779-1782,共4页World Journal of Sleep Medicine

摘　　要：目的:观察在对儿童重症监护室(PICU)患儿护理时开展三级谵妄干预管理流程对患儿睡眠质量以及谵妄发生率的影响。方法:选取2022年2月至2023年10月厦门大学附属第一医院儿科重症监护室收治的PICU患儿82例作为研究对象,按照随机数字表法分为对照组和观察组,每组41例。对照组给予常规护理干预,观察组在对照组基础上开展三级谵妄干预管理流程护理。采用匹兹堡睡眠质量指数(PSQI)比较2组患儿睡眠质量的差异,比较2组患儿谵妄发生率,比较2组患儿夜间觉醒次数、日平均睡眠时间、夜间最长连续睡眠时间,比较2组患儿并发症发生率。结果:干预后,观察组PSQI评分显著低于对照组,观察组夜间觉醒次数显著低于对照组,日平均睡眠时间、夜间最长连续睡眠时间显著长于对照组,观察组谵妄发生率、并发症发生率均显著低于对照组,差异有统计学意义(P<0.05)。结论:在对PICU患儿治疗期间开展三级谵妄干预管理流程,可以提升患儿睡眠质量,降低谵妄发生率,加快患儿恢复速度,并降低并发症发生率,值得临床推广应用。Objective:To observe the effects of tertiary delirium intervention management procedures on sleep quality and incidence of delirium in children in the child intensive care unit(PICU).Methods:A total of 82 children with PICU admitted to the Pediatric Intensive Care Unit of the First Affiliated Hospital of Xiamen University from February 2022 to October 2023 were selected as the study objects and divided into control group and observation group according to random number table method,with 41 cases in each group.The control group received routine nursing intervention,and the observation group carried out tertiary delirium intervention management process nursing on the basis of the control group.Pittsburgh Sleep Quality Index(PSQI)was used to compare the difference in sleep quality between the two groups,the incidence of delirium between the two groups was compared,the number of night awakenings,the daily average sleep time,the longest continuous sleep time at night,and the incidence of complications between the two groups were compared.Results:After the intervention,PSQI score in the observation group was significantly lower than that in the control group,the number of night awakening in the observation group was significantly lower than that in the control group,the daily average sleep time and the longest continuous sleep time at night were significantly longer than that in the control group,and the incidence of delirium and complications in the observation group were significantly lower than that in the control group,with statistical significance(P<0.05).Conclusion:The implementation of tertiary delirium intervention management procedures during the treatment of PICU children can improve the sleep quality of children,reduce the incidence of delirium,accelerate the recovery speed of children,and reduce the incidence of complications,which is worthy of clinical application.

关 键 词：三级谵妄干预管理流程 PICU患儿 谵妄 发生率 睡眠 睡眠时间 日平均睡眠时间 夜间最长连续睡眠时间 

分 类 号：R248.4[医药卫生—中医临床基础] R338.63[医药卫生—中医学]