摘要
目的探讨基于联合评估方案的急诊老年患者谵妄管理方案应用效果。方法以基于Rosen等提出的ABCDEF联合评估方案为基础,构建急诊科老年患者谵妄管理方案。选取2019年1月至2020年12月中山市中医院急诊科收治的120例老年患者为研究对象,以非同期对照方法将2019年1至12月收治的患者设为对照组,2020年1至12月收治的患者设为观察组,每组60例。对照组患者采用传统谵妄管理方法,观察组患者采用基于联合评估模式的老年患者谵妄管理方案,比较两组患者谵妄发生率及持续时间、机械通气发生率及通气时间、计划外入住重症监护室(ICU)及停留时间、护理满意度评价。结果观察组谵妄发生率低于对照组,差异有统计学意义(P<0.05)。观察组谵妄持续时间短于对照组,差异有统计学意义(P<0.05)。观察组机械通气持续时间短于对照组,差异有统计学意义(P<0.05)。观察组ICU停留时间短于对照组,差异有统计学意义(P<0.05)。两组患者计划外入住ICU发生率比较,差异无统计学意义(P>0.05)。观察组对护士护理服务满意度三个维度总分高于对照组,差异有统计学意义(P<0.05)。两组患者介绍科室环境及安全注意事项、在患者需要时给予帮助、护理技术娴熟、病室环境安静、整洁条目评分比较,差异无统计学意义(P>0.05)。结论基于联合评估模式的急诊老年患者谵妄管理方案有利于降低患者谵妄发生率,缩短机械通气及计划外入住ICU时间,提高患者对护理服务满意度。
Objective To explore the effects of application of delirium management program-based of joint evaluation in emergency elderly patients.Methods To establish a management plan for delirium in emergency elderly patients which based on ABCDEF joint evaluation management program by Rawson.A total of 120 emergency elderly patients admitted to Department of Emergency,Zhongshan Hospital of Traditional Chinese Medicine from January 2019 to December 2020 were divided into the observation group(admitted from January to February 2020)and the control group(admitted from January to February 2019)by the non-contemporaneous control method,with 60 cases in each group.The control group received routine delirium management program,the observation group received delirium management program-based of joint evaluation.The incidence of delirium and duration,incidence of mechanical ventilation and duration,incidence of unplanned admission to intensive care unit(ICU)and duration,the effect of nursing satisfaction were compared between the two groups.Results The incidence of postoperative delirium in the control group was lower than that of the observation group,the difference was stastically significant(P<0.05).The duration of delirium in the observation group was shorter than that of the control group,the difference was stastically significant(P<0.05).The duration of mechanical ventilation in the observation group was shorter than that of the control group,the difference was stastically significant(P<0.05).The duration of unplanned admission to intensive care unit(ICU)in the observation group was shorter than that of the control group,the difference was stastically significant(P<0.05).There was no statistically significant difference in the incidence of unplanned admission to ICU between two groups(P>0.05).The total score of three dimensions of satisfaction with nursing services in the observation group was higher than that of the control group,the difference was stastically significant(P<0.05).But there were no statistically significant differences in provided help when needed,skilled nursing skills,quiet room environment,and tidy entry scores between two groups(P>0.05).Conclusion The delirium management program-based of joint evaluation in emergency elderly patients could reduced the incidence of postoperative delirium,shorter the duration of mechanical ventilation and the duration of unplanned admission to ICU,promote the satisfaction score of nursing service.
作者
邓海莲
邓凤连
DENG Hailian;DENG Fenglian(Department of Emergency,Zhongshan Hospital of Traditional Chinese Medicine,Guangdong Province,Zhongshan 528400,China)
出处
《中国当代医药》
CAS
2022年第7期188-192,共5页
China Modern Medicine
关键词
谵妄
老年患者
护理
急诊
Delirium
Elderly
Nursing
Emergency
