Delirium is a clinical syndrome of acute brain dysfunction,especially the incidence of delirium in patients in Cardiac Intensive Care Unit(CICU)is relatively high.This paper mainly describes the main risk factors for ...Delirium is a clinical syndrome of acute brain dysfunction,especially the incidence of delirium in patients in Cardiac Intensive Care Unit(CICU)is relatively high.This paper mainly describes the main risk factors for delirium in CICU patients are patient characteristic,disease,treatment and environment and the research progress of non-pharmacological treatment is reviewed,aiming at nursing staff should pay more attention to the patient characteristics and actively take non-pharmacological nursing measures and prevent the occurrence of delirium.This article focuses on the main risk factors of CICU patients with delirium and the research progress of non-pharmacological treatment.It aims to provide a reference basis for the management and research of CICU delirium patients in China in the future.展开更多
Objective:To analyze the effect of continuity of care in the cardiac intensive care unit(CICU)on improving cognitive function and psychological state in patients with heart failure(HF).Methods:A total of 112 chronic H...Objective:To analyze the effect of continuity of care in the cardiac intensive care unit(CICU)on improving cognitive function and psychological state in patients with heart failure(HF).Methods:A total of 112 chronic HF patients admitted to the CICU of Xuzhou Traditional Chinese Medicine Hospital from July 2022 to August 2024 were selected and randomly divided into two groups using the red and blue ball method:a control group(n=56)and a study group(n=56).The control group received routine CICU nursing management,while the study group received routine CICU nursing combined with continuity of care management.Cognitive function(using the Montreal Cognitive Assessment,MoCA),psychological state(using the Self-Rating Depression Scale,SDS,and Self-Rating Anxiety Scale,SAS),and quality of life(using the Minnesota Living with Heart Failure Questionnaire,MLHFQ)were compared between the two groups.Results:After the intervention,the cognitive function scores of the study group were significantly higher than those of the control group(P<0.05).The SDS and SAS scores of the study group were significantly lower than those of the control group after the intervention(P<0.05).The quality of life in the study group was also significantly better than in the control group(P<0.05).Conclusion:CICU continuity of care can effectively improve cognitive function and psychological state in patients with HF,while also enhancing their quality of life.展开更多
目的:了解心脏外科术后病人入住心脏重症监护中心(cardiac intensive care unit,CICU)内心的真实体验,明确病人现存的问题及需求,为科学实施其护理方案提供参考依据。方法:采用目的抽样法选取海军军医大学第二附属医院心脏外科10例术后...目的:了解心脏外科术后病人入住心脏重症监护中心(cardiac intensive care unit,CICU)内心的真实体验,明确病人现存的问题及需求,为科学实施其护理方案提供参考依据。方法:采用目的抽样法选取海军军医大学第二附属医院心脏外科10例术后入住CICU的病人为研究对象,采用面对面半结构式深度访谈的形式收集资料,根据Colaizzia 7步分析法对资料进行分析,提炼主题。结果:心脏外科术后病人入住CICU的真实体验可提炼出4个主题,即机械通气造成的不适、早期康复运动的不确定感、睡眠障碍、支持系统的需求。结论:心脏外科术后病人入住CICU期间生理及心理上易产生不同程度的压力,医务人员应高度重视病人入住CICU期间的体验和需求,制定早期、专业、多元化的护理方案,促进病人早日康复。展开更多
Nurse-implemented goal-directed strategy to improve pain and sedation management in a pediatric cardiac intensive care unit.Lincoln PA,Whelan K,Hartwell LP,et al.Pediatr Crit Care Med,2020,21(12):1064-1070.关键词疼痛...Nurse-implemented goal-directed strategy to improve pain and sedation management in a pediatric cardiac intensive care unit.Lincoln PA,Whelan K,Hartwell LP,et al.Pediatr Crit Care Med,2020,21(12):1064-1070.关键词疼痛;镇静;阿片类药物戒断;苯二氮卓类药物戒断;状态行为M表;戒断评估工具-版本1;医源性戒断综合征目的:评估一项由护士实施的目标导向镇静策略(RESTORE)对一家儿童CICU(pediatric CICU,PCICU)内患儿监护和护理实践的影响。场所:一家独立三级儿童医院内有31张床的PCICU。对象:心脏术后患儿。设计:对实施策略前后期进行评估对比的质量改进项目。展开更多
目的:提高心脏外科ICU(Cardiac intensive care unit,CICU)新护士的业务素质、综合抢救能力,快速适应临床工作。方法:应用PDCA循环法,对15名新护士进行为期6个月的专科理论、专科技能、综合素质的规范化培训及考核,将综合考核成绩与往...目的:提高心脏外科ICU(Cardiac intensive care unit,CICU)新护士的业务素质、综合抢救能力,快速适应临床工作。方法:应用PDCA循环法,对15名新护士进行为期6个月的专科理论、专科技能、综合素质的规范化培训及考核,将综合考核成绩与往年用常规方法培训的15名新护士成绩作比较。结果:与常规方法培训相比,运用PDCA循环法培训,新护士的专科理论操作考核成绩有显著提高(P<0.01)、医生满意度评价明显提高(P<0.05)。结论:在CICU新护士培训中应用PDCA循环法,对增强新护士综合素质、快速适应临床工作、提高临床教学质量起到很好的效果。展开更多
基金supported by grants from the Education Department of Jilin Province(JJKH20240707KJ).
文摘Delirium is a clinical syndrome of acute brain dysfunction,especially the incidence of delirium in patients in Cardiac Intensive Care Unit(CICU)is relatively high.This paper mainly describes the main risk factors for delirium in CICU patients are patient characteristic,disease,treatment and environment and the research progress of non-pharmacological treatment is reviewed,aiming at nursing staff should pay more attention to the patient characteristics and actively take non-pharmacological nursing measures and prevent the occurrence of delirium.This article focuses on the main risk factors of CICU patients with delirium and the research progress of non-pharmacological treatment.It aims to provide a reference basis for the management and research of CICU delirium patients in China in the future.
文摘Objective:To analyze the effect of continuity of care in the cardiac intensive care unit(CICU)on improving cognitive function and psychological state in patients with heart failure(HF).Methods:A total of 112 chronic HF patients admitted to the CICU of Xuzhou Traditional Chinese Medicine Hospital from July 2022 to August 2024 were selected and randomly divided into two groups using the red and blue ball method:a control group(n=56)and a study group(n=56).The control group received routine CICU nursing management,while the study group received routine CICU nursing combined with continuity of care management.Cognitive function(using the Montreal Cognitive Assessment,MoCA),psychological state(using the Self-Rating Depression Scale,SDS,and Self-Rating Anxiety Scale,SAS),and quality of life(using the Minnesota Living with Heart Failure Questionnaire,MLHFQ)were compared between the two groups.Results:After the intervention,the cognitive function scores of the study group were significantly higher than those of the control group(P<0.05).The SDS and SAS scores of the study group were significantly lower than those of the control group after the intervention(P<0.05).The quality of life in the study group was also significantly better than in the control group(P<0.05).Conclusion:CICU continuity of care can effectively improve cognitive function and psychological state in patients with HF,while also enhancing their quality of life.
文摘目的:了解心脏外科术后病人入住心脏重症监护中心(cardiac intensive care unit,CICU)内心的真实体验,明确病人现存的问题及需求,为科学实施其护理方案提供参考依据。方法:采用目的抽样法选取海军军医大学第二附属医院心脏外科10例术后入住CICU的病人为研究对象,采用面对面半结构式深度访谈的形式收集资料,根据Colaizzia 7步分析法对资料进行分析,提炼主题。结果:心脏外科术后病人入住CICU的真实体验可提炼出4个主题,即机械通气造成的不适、早期康复运动的不确定感、睡眠障碍、支持系统的需求。结论:心脏外科术后病人入住CICU期间生理及心理上易产生不同程度的压力,医务人员应高度重视病人入住CICU期间的体验和需求,制定早期、专业、多元化的护理方案,促进病人早日康复。
文摘Nurse-implemented goal-directed strategy to improve pain and sedation management in a pediatric cardiac intensive care unit.Lincoln PA,Whelan K,Hartwell LP,et al.Pediatr Crit Care Med,2020,21(12):1064-1070.关键词疼痛;镇静;阿片类药物戒断;苯二氮卓类药物戒断;状态行为M表;戒断评估工具-版本1;医源性戒断综合征目的:评估一项由护士实施的目标导向镇静策略(RESTORE)对一家儿童CICU(pediatric CICU,PCICU)内患儿监护和护理实践的影响。场所:一家独立三级儿童医院内有31张床的PCICU。对象:心脏术后患儿。设计:对实施策略前后期进行评估对比的质量改进项目。
文摘目的:提高心脏外科ICU(Cardiac intensive care unit,CICU)新护士的业务素质、综合抢救能力,快速适应临床工作。方法:应用PDCA循环法,对15名新护士进行为期6个月的专科理论、专科技能、综合素质的规范化培训及考核,将综合考核成绩与往年用常规方法培训的15名新护士成绩作比较。结果:与常规方法培训相比,运用PDCA循环法培训,新护士的专科理论操作考核成绩有显著提高(P<0.01)、医生满意度评价明显提高(P<0.05)。结论:在CICU新护士培训中应用PDCA循环法,对增强新护士综合素质、快速适应临床工作、提高临床教学质量起到很好的效果。
