摘要
目的 分析ICU护士术前访视对心脏外科手术青年患者ICU综合征发生率的影响。方法 将我院2020年1-6月期间接受的60心脏外科手术青年患者患者作为对照组，我院2020年7-12月期间接受的60心脏外科手术青年患者患者作为干预组。医护人员对对照组患者实施病房护士术前常规宣教，对干预组患者实施PAE法术前访视。比对两组患者的满意度、谵妄发生机率。结果 与对照组患者进行比较，干预组患者的满意度以及谵妄发生机率存在显著优势，P＜0.05。结论 ICU护士对心脏外科手术青年患者实施术前访视，能够降低患者ICU综合征发生率，提升满意度，对其病情康复产生积极影响。
关键词： PAE法术前访视；心脏外科手术；青年患者；ICU综合征发生率
Abstract
Objective To analyze the effect of preoperative visit of ICU nurses on the incidence of ICU syndrome in young patients undergoing cardiac surgery. Methods 60 young patients undergoing cardiac surgery in our hospital from January to June 2020 were selected as control group, the intervention group consisted of 60 young patients undergoing cardiac surgery in our hospital from July to December 2020. The patients in the control group were given preoperative routine education by nurses, and the patients in the intervention group were given preoperative visit by PAE. The satisfaction and incidence of delirium were compared between the two groups. Results compared with the control group, the intervention group had significant advantages in satisfaction and incidence of delirium (p<0.05). Conclusion the preoperative visit by ICU nurses to young patients undergoing cardiac surgery can reduce the incidence of ICU syndrome, improve the satisfaction and have a positive effect on their rehabilitation.
Key words： PAE preoperative visit; Cardiac surgery; Young patients; Incidence of ICU syndrome
参考文献 References
[1] 朱兰芳.基于前馈控制护理在预防ICU机械通气患者谵妄中的效果观察[J].护理实践与研究,2022,19(15):2286-2289.
[2] 闫菲菲,梁玉霞. 程序化综合护理对心脏外科ICU患者术后谵妄发生的影响[J].临床医学工程,2022,29(07):975-976.
[3] 孙建华,李奇,谢铃莉,赵明曦,李鑫,马鸿鸣,万朝阳,王新博,王小亭.ICU患者谵妄严重程度分级的研究进展[J].护理学报,2022,29(10):39-42.
[4] 吕娟,贾艳,阎曚,赵艳,刘亚飞,李雅莉,李杨.先天性心脏病患儿术后谵妄危险因素的前瞻性巢式病例对照研究[J].中国当代儿科杂志,2022,24(03):232-239.
[5] 杨建,王建设,赵龙德,肖建明.先天性心脏病患儿体外循环术后发生谵妄现状及影响因素调查研究[J].中国卫生统计,2021,38(06):923-925.
[6] 吕洋. ICU护士术前访视对体外循环心脏手术患者发生ICU获得性谵妄的影响研究[D].山西中医药大学,2020.
[7] 束睿,李佳.ICU护士术前访视介入法在肝移植术后病人ICU谵妄预防中的应用[J].全科护理,2019,17(19):2379-2381.
[8] 陈红美,尤颖,李冬梅.ICU护士术前访视干预在老年患者术后谵妄中的应用[J].实用临床护理学电子杂志,2019,4(24):23-24+39.
[9] Harowicz M R, Shah A, Zimmerman S L. Preoperative Planning for Structural Heart Disease[J]. Radiologic Clinics of North America, 2020, 58(4).
[10] Gamal T, Ram E, Volvovitch D, et al. Preoperative Venoarterial Extracorporeal Membrane OxygenationReduces Mortality in Advanced Structural Heart Disease. 2020.