集束化护理预防心外术后患者ICU谵妄的应用与评价

摘要

Objective:To investigate the influence of cluster intervention strategies on cardiac postoperation patient. Method:70 cardiac postoperation patients in ICU were collected and divided into the intervention group(n=35) and control group(n=35). The control group were given the conventional nursing.The intervention group were cluster intervention strategies on the basis of conventional nursing measures. Result:Intervention group reduced the incidence of delirium thick,shorten ICU treatment time and total hospital stay,increased 28 d the survival rate ,there were significantly different between the two groups(P<0.05).Conclusion:As active preventive measures,compared with the traditional measures,cluster intervention strategies are targeted and effective,can effectively reduce ICU delirium incidence rate of cardiac postoperation patients,it is worthy of clinical use.%目的：探讨集束化护理对心外术后ICU谵妄患者的影响。方法：选择2013年2-11月入住ICU的患者70例，随机分为干预组（n=35）和对照组（n=35），干预组在常规护理措施的同时，应用集束化护理。对照组采用常规护理。结果：与对照组比较，干预组的谵妄发生率降低，ICU治疗时间与总住院日缩短，28 d生存率增高，差异具有统计学意义（P<0.05）。结论：集束化护理作为主动预防措施较于传统的措施具有针对性和有效性，能有效降低心外术后患者ICU谵妄的发生率，值得临床推广使用。