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目的:探究集束化护理在预防心外术后患者ICU谵妄中的应用价值。方法:回顾性剖析2015年10月至2017年4月本院接诊的74例ICU病患的病历资料,并以不同的护理方案为分组依据对所选病患进行分组:实验组(n=37)实施集束化护理,对照组(n=37)实施常规护理。观察两组的护理效果,比较谵妄发生率与ICU治疗时间等指标。结果:实验组的谵妄发生率为16.22%,明显比对照组的35.14%低,组间差异显著(P<0.05)。实验组的ICU治疗时间为(7.26±2.91)d、住院总时间为(13.48±5.17)d,均明显比对照组的(10.83±3.05)d、(16.32±4.34)d缩短,组间差异显著(P<0.05)。结论:积极对心外手术病患施以集束化护理,可有效预防谵妄,缩短ICU治疗时间,促进患者病情康复。
Objective: To explore the value of cluster nursing in the prevention of ICU delirium in patients with extracardiac surgery. Methods: The clinical data of 74 ICU patients admitted from October 2015 to April 2017 in our hospital were retrospectively analyzed. The selected patients were grouped according to different nursing plans. The experimental group (n = 37) Group intensive care, control group (n = 37) for routine care. Observe the nursing effect of two groups, compare the incidence of delirium and ICU treatment time and other indicators. Results: The incidence of delirium in the experimental group was 16.22%, which was significantly lower than 35.14% in the control group. There was significant difference between the two groups (P <0.05). The ICU treatment time was (7.26 ± 2.91) d in the experimental group and (13.48 ± 5.17) days in the hospitalization group, which were significantly shorter than those in the control group (10.83 ± 3.05) days and (16.32 ± 4.34) days, respectively (P <0.05). CONCLUSIONS: Aggressive care for patients with extracardiac surgery is effective in preventing delirium, shortening the duration of ICU treatment and promoting the recovery of patients.