机械通气患者重症监护后 ICU 谵妄与妄想记忆之间的关联。
Association between intensive care unit delirium and delusional memory after critical care in mechanically ventilated patients.
机构信息
Kanto Gakuin University College of Nursing, Yokohama, Japan.
Department of Adult Health Nursing, School of Nursing, Sapporo City University, Sapporo, Japan.
出版信息
Nurs Open. 2021 May;8(3):1436-1443. doi: 10.1002/nop2.760. Epub 2021 Jan 2.
AIM
To determine the relationship between the delirium of patients with mechanical ventilation during intensive care unit (ICU) stay and delusional memory after ICU discharge.
DESIGN
Prospective cohort study.
METHODS
Delirium in adult patients who received mechanical ventilation for more than 24 hr was assessed twice daily using the Confusion Assessment Method for the ICU. Delusional memories were evaluated using the ICU Memory Tool 5-10 days after ICU discharge. The associations between the presence of delirium during the ICU stay and delusional memories were evaluated.
RESULTS
Of 60 enrolled patients, 62% had delirium during their ICU stay, and 68% experienced delusional memories 5-10 days after discharge. Delirium during ICU stay was an independent factor to experience delusional memories following discharge. Preventing delirium during ICU stay might reduce delusional memory. We recommend that patients with delirium during their ICU stay should be carefully followed up after discharge from the ICU.
目的
确定重症监护病房（ICU）机械通气患者的谵妄与 ICU 出院后妄想记忆之间的关系。
设计
前瞻性队列研究。
方法
使用 ICU 谵妄评估方法，每天两次评估接受机械通气超过 24 小时的成年患者的谵妄。ICU 出院后 5-10 天使用 ICU 记忆工具评估妄想记忆。评估 ICU 期间谵妄的存在与妄想记忆之间的关联。
结果
在 60 名入组患者中，62%在 ICU 期间出现谵妄，68%在出院后 5-10 天出现妄想记忆。ICU 期间的谵妄是出院后出现妄想记忆的独立因素。预防 ICU 期间的谵妄可能会减少妄想记忆。我们建议对 ICU 期间出现谵妄的患者在 ICU 出院后进行仔细随访。
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