15例体外膜肺氧合患者躁动的原因分析及护理对策

摘要

This paper analyzed the reasons of dysphoria in 15 patients with extracorporeal membrane oxygenation (ECMO) from January 2009 to February and summarized its nursing experience. The reasons of dysphoria in patients with ECMO included various catheters, mechanical ventilation-induced uncomfortableness, without enough oxygen and drug-induced delirium. Corresponding nursing strategies included management of catheters, alleviation of uncomfortableness, application of closed tracheal suction catheter, the strengthening of aerosol inhalation, even the application of lung dilation when necessary, the monitoring of body temperature, the improvement of nurses’ safety consciousness of when using analgesic or sedative medications and more assessment on delirium. In the study, 7 cases recovered and discharged;2 died;5 gave up treatment for various reasons and 1 was still hospitalized.%分析2009年1月—2016年2月本科室收治的15例体外膜肺氧合患者躁动原因与护理对策。分析原因与全身管道多、机械通气等刺激引起舒适度改变、供氧不足、药源性谵妄有关。护理对策包括：做好各管道的管理，减少机械通气引起的不适，使用密闭式吸痰管，加强雾化吸入，必要时鼓肺，进行体温的监护，加强护士对镇痛镇静药物使用时的安全意识，加强谵妄的评估等。本组7例患者痊愈出院，2例死亡，5例病情危重或因费用问题放弃治疗自动出院,1例病情加重仍在住院正在全力救治中。