摘要
目的分析心脏术后重症监护室(intensive care unit,ICU)患者环境压力源感知情况,并比较其对谵妄的影响。方法2019年1-5月,采用方便抽样法选取某三级甲等综合性医院心脏手术后入住ICU的306例患者为研究对象,采用一般资料问卷、急性生理与慢性健康评分、ICU患者意识模糊评估法和ICU环境压力源量表对其进行调查。结果本组患者ICU环境压力源量表中平均分最高的条目为带有口腔或鼻腔插管和口渴。不同ICU入住时间的患者在ICU环境压力源得分的比较,差异有统计学意义(χ~2=22.79,P<0.001)。谵妄组和非谵妄组在ICU环境压力源总分及4个维度方面的比较,差异均有统计学意义(均P<0.05)。结论心脏术后ICU患者环境压力源主要为"带有口腔或鼻腔插管"和"口渴",压力源得分与ICU入住时间的长短有关,谵妄患者感知的环境压力高于非谵妄患者;环境压力源分析可为心脏术后ICU患者的环境管理提供依据。
Objective To analyze the environmental stressors in ICU patients after cardiac surgery,and to compare the differences of environmental stressors in ICU between delirium group and non-delirium group.Methods From January to May 2019,306 patients admitted to ICU after cardiac surgery in the hospital were selected by convenient sampling method.General information questionnaire,APACHEⅡ,CAM-ICU and ICU Environmental Source Scale(ICUESS)were used to investigate the patients.Results The highest average score in the ICUESS was thirst and with oral or nasal intubation.The differences in ICUESS scores of ICU residence time(χ~2=22.79,P<0.001)were statistically significant.There were statistically significant differences in ICU environmental stressors and four dimensions between delirium group and non-delirium group(all P<0.05).Conclusions The environmental stressors perceived by ICU patients after cardiac surgery were mainly‘with oral or nasal intubation’and‘thirst’.The score of pressure source is related to the length of ICU stay.The environmental pressure perceived by delirium patients is higher than that of non-delirium patients,which can provide a basis for the environmental management of ICU patients after cardiac surgery.
作者
祝利花
周敏
ZHU Lihua;ZHOU Min(Department of Cardiac Surgery Intensive Care Unit,Qilu Hospital of Shandong University,Jinan 250012,Shandong Province,China;Department of Intensive Care Unit,Qilu Hospital of Shandong University)
出处
《解放军护理杂志》
CSCD
北大核心
2019年第12期29-31,36,共4页
Nursing Journal of Chinese People's Liberation Army
