重症监护病房危险因素与谵妄的测定

A. Bahar, Mina Güner
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摘要

目的:提高护士对谵妄危险因素的认识,提高护士使用护理谵妄筛查量表(Nu-DESC)的能力,通过对重症监护病房患者谵妄的早期发现,提高护理质量。材料与方法:本研究为描述性、相关性研究。样本包括重症监护病房的55名患者。研究数据采用个人信息表、Richmond躁动与镇静量表、Glasgow昏迷量表和Nu-DESC进行收集。结果:大多数患者(89%)表现出焦虑和躁动的症状。年龄与谵妄发生时间及Nu-DESC有显著相关。在研究中,隔离需要、呼吸机支持和疼痛被确定为危险因素。结论:本研究结果揭示了护士在临床实践中使用测量工具进行谵妄早期检测的必要性。
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Determination of the risk factors and delirium in the intensive care unit
Aim: The objective of the present study is to increase nurses’ awareness of delirium risk factors, make nurses gain competence in using Nursing Delirium Screening Scale (Nu-DESC), and improve the quality of care by detecting delirium early in intensive care unit patients.Material and Method: The research is a descriptive and correlational study. The sample consisted of 55 patients in an intensive care unit. Data of the study was collected with the Personal Information Form, the Richmond Agitation and Sedation Scale, the Glasgow Coma Scale, and the Nu-DESC.Results: The majority of patients (89%) demonstrated the symptoms of anxiety and agitation. There was a significant correlation between age and the day delirium was detected and the Nu-DESC. In the study, isolation need, ventilator support, and pain were determined as risk factors. Conclusion: The results of the study revealed the necessity of using measurement tools for the early detection of delirium in clinical practice by nurses.
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