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家庭参与式多感官刺激对ICU机械通气患者谵妄的影响

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目的 探讨家庭参与式多感官刺激方案的实施对ICU机械通气患者谵妄的影响.方法 将80例ICU机械通气患者按照入住时间分为对照组41例,观察组39例.对照组实施常规护理方案,观察组实施家庭参与式多感官刺激谵妄防治方案.结果 两组均有36例完成研究.干预后观察组谵妄发生率、谵妄持续时间、机械通气时间显著低于或短于对照组(均P<0.05),患者家属满意度问卷中信息、保证、被接纳维度得分显著高于对照组(均P<0.05).结论 家庭参与式多感官刺激可有效降低ICU机械通气患者谵妄发生率,缩短其机械通气时间,提高患者家属满意度.
Effect of family participatory multi-sensory stimulation on delirium in mechanically ventilated ICU patients
Objective To explore the effect of family participatory multi-sensory stimulation on delirium in mechanically ventilated ICU patients.Methods A total of 80 mechanically ventilated ICU patients were divided into a control group(41 cases)and an ex-perimental group(39 cases).The control group received routine care,while the experimental group additionally received family participatory multi-sensory stimulation programme for delirium prevention and treatment.Results Thirty-six patients in each group completed the study.After the intervention,the incidence of delirium,the duration of delirium and the time of mechanical ventila-tion in the experimental group were significantly lower or shorter than those in the control group(all P<0.05),and the subscale scores of the information,reassurance and acceptance of the family satisfaction questionnaire in the experimental group were signi-ficantly higher than those in the control group(all P<0.05).Conclusion Family participatory multi-sensory stimulation can effec-tively reduce the incidence of delirium,shorten the duration of mechanical ventilation in mechanically ventilated ICU patients,and improve the satisfaction of patients'family members.

intensive care unitmechanical ventilationdeliriumfamily involvementmulti-sensory stimulationauditory stimulationvisual stimulationfamily satisfaction

何彬、杨郑、蒙斯雅、何桂兰、莫蓓蓉

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华中科技大学协和深圳医院重症医学科(广东深圳,518000)

华中科技大学协和深圳医院护理部(广东深圳,518000)

重症监护病房 机械通气 谵妄 家庭参与 多感官刺激 听觉刺激 视觉刺激 家属满意度

深圳市南山区科技计划项目

NS2023015

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(14)
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