心脏术后功能障碍患者谵妄发生的危险因素及护理措施
Risk Factors and Nursing Measures of Delirium in Patients with Cardiac Postoperative Dysfunction
门卓丽1
作者信息
- 1. 天津市胸科医院心外监护室,天津 300222
- 折叠
摘要
目的:探讨心脏术后功能障碍患者谵妄发生的危险因素及护理措施.方法:选取本院 2019 年 8 月-2021 年 9 月收治的 100 例心脏外科手术术后功能障碍的患者,术后根据"是否出现谵妄",将其分为对照组(n=20)与观察组(n=80).分析引起患者出现谵妄的因素,给予针对性护理对策.结果:对照组、观察组在年龄、术前左室射血分数、术前心功能分级、手术时机、ICU停留时间、术后疼痛评分及术后血氧饱和度方面有差异;引起心脏术后谵妄的独立危险因素为年龄、术前心功能水平、ICU停留时间及机械通气时间,组间差异有统计学意义(P<0.05).结论:引起心脏术后谵妄的因素为年龄、术前心功能水平、ICU停留时间及机械通气时间等,谵妄在心脏术后功能障碍患者中较常见,及时识别年龄、术前心功能及机械通气时间等独立危险因素,给予针对性护理措施,可改善预后效果、促进疾病恢复.
Abstract
Objective:To explore the risk factors and nursing measures of delirium in patients with cardiac postoperative dysfunc-tion.Methods:A total of 100 patients with postoperative dysfunction of cardiac surgery admitted to our hospital from August 2019 to September 2021 were selected and divided into control group(n=20)and observation group(n=80)according to whether delirium occurs after surgery.The factors causing delirium were analyz ed and the corresponding nursing countermeasures were given.Results:There were differences in age,preoperative left ventricular ejection fraction,preoperative cardiac function grade,operation time,ICU stay time,postoperative pain score and postoperative oxygen saturation between control group and observation group.The independent risk factors for postoperative delirium were age,preoperative cardiac function level,ICU stay time and mechanical ventilation time,and the differ-ences between groups were statistically significant(P<0.05).Conclusion:Factors causing delirium after cardiac surgery are age,preop-erative cardiac function level,ICU stay time and mechanical ventilation time,etc.Delirium is more common in patients with postopera-tive cardiac dysfunction.Timely identification of independent risk factors such as age,preoperative cardiac function and mechanical ven-tilation time,and giving targeted nursing measures can improve the prognosis and promote the recovery of the disease.
关键词
心脏手术/谵妄/功能障碍/危险因素/护理措施Key words
Heart surgery/Delirium/Dysfunction/Risk factors/Nursing measures引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据