实用临床医药杂志2018,Vol.22Issue(2):22-24,3.DOI:10.7619/jcmp.201802007
急诊重症患者谵妄发生的临床因素评估及预防性护理
Evaluation of clinical factors and preventive nursing of delirium in emergency critically ill patients
摘要
Abstract
Objective To explore the clinical related factors of emergency critical ill patients and its preventive nursing countermeasures.Methods A total of 50 emergency critically ill patients with delirium in our hospital were as observation group and 50 non-delirium patients were as control group.The clinical factors that maylead to delirium of the patients were analyzed.Results Age,BMI,severe infection,cerebrovascular disease,liver disease,diabetes,APACHE score,the ratio of using sodium nitroprusside and midazolam,and mechanical ventilation in the observation group showed statistically significant differences compared to the control group (P < 0.05).Multivariate logistic regression analysis showed that age,diabetes mellitus,severe infection,APACHE Ⅱ score and mechanical ventilation were independent risk factors for delirium in emergency critically ill patients (P <0.05).Conclusion There are many predisposing factors for delirium in emergency critical ill patients,so we should strengthen the observation of the patient's condition and adopt preventive nursing countermeasures.关键词
急诊危重患者/谵妄/危险因素/预防性护理Key words
emergency critical patients/delirium/clinical factors/preventive care分类
医药卫生引用本文复制引用
陈有玺..急诊重症患者谵妄发生的临床因素评估及预防性护理[J].实用临床医药杂志,2018,22(2):22-24,3.基金项目
青海省自然科学基金(2016-ZJ936Q) (2016-ZJ936Q)