优质系统化护理对预防ICU老年患者谵妄发生的影响

The Impact of High-Quality Systematic Nursing on the Prevention of Delirium in Elderly ICU Patients

摘要: 目的：探讨优质系统化护理对预防ICU老年患者谵妄发生的影响。方法：方便取样2023年3月份~2024年3月份在某三甲医院ICU病房治疗的76例机械通气治疗后出现谵妄的老年患者，依据随机性原则分为对照组、观察组，各38例，对照组护理方式为常规护理，观察组采取优质系统化护理，比较两组护理后的临床指标与不良反应发生情况。结果：在护理后对照组机械通气时间、ICU住院时间9.36 ± 1.36 d、15.23 ± 1.98 d，与观察组6.45 ± 2.15 d、8.45 ± 1.23 d比较差异显著，p < 0.05；对照组不良反应发生率26.31%，明显比观察组7.90%高，p < 0.05；护理后对照组注意力、意识水平、意识状况、思维混乱评评分2.65 ± 1.31分、2.98 ± 1.24分、3.02 ± 1.45分、2.64 ± 1.02分，与观察组6.12 ± 1.25分、6.89 ± 1.75分、7.12 ± 1.04分、6.78 ± 1.76分相比差异显著，p < 0.05。结论：优质系统化护理应用在老年机械通气谵妄患者中，能够改善患者临床症状，将患者不良反应发生率降低。

Abstract: Objective: To explore the impact of high-quality systematic nursing on the prevention of delirium in elderly ICU patients. Methods: Convenient sampling was used to select 76 elderly patients with delirium after mechanical ventilation treatment in the ICU ward of a tertiary hospital from March 2023 to March 2024. They were randomly divided into the control group and the observation group, with 38 cases in each group. The control group received conventional nursing, and the observation group received high-quality systematic nursing. The clinical indicators and the occurrence of adverse reactions after nursing in the two groups were compared. Results: After nursing, the mechanical ventilation time and ICU hospitalization time in the control group were 9.36 ± 1.36 days and 15.23 ± 1.98 days, respectively, which were significantly different from those in the observation group (6.45 ± 2.15 days and 8.45 ± 1.23 days), p < 0.05. The incidence of adverse reactions in the control group was 26.31%, which was significantly higher than that in the observation group (7.90%), p < 0.05. After nursing, the scores of attention, consciousness level, consciousness status, and confusion of thinking in the control group were 2.65 ± 1.31 points, 2.98 ± 1.24 points, 3.02 ± 1.45 points, and 2.64 ± 1.02 points, respectively, which were significantly different from those in the observation group (6.12 ± 1.25 points, 6.89 ± 1.75 points, 7.12 ± 1.04 points, and 6.78 ± 1.76 points), p < 0.05. Conclusion: The application of high-quality systematic nursing in elderly patients with mechanical ventilation delirium can improve the clinical symptoms of patients and reduce the incidence of adverse reactions.