集束化护理可降低老年重症监护病房患者术后谵妄的发生率，并改善其负面情绪和生活质量。
Cluster nursing can reduce postoperative delirium and improve the negative emotions and quality of life of elderly ICU patients.
作者信息
Di Jie, Wang Xiaofei, Chen Jing
机构信息
Intensive Care Unit, Changzhou No. 2 People's Hospital, The Affiliated Hospital of Nanjing Medical University Changzhou 213000, Jiangsu Province, China.
出版信息
Am J Transl Res. 2021 Apr 15;13(4):2931-2938. eCollection 2021.
OBJECTIVE
To explore the application effect of cluster nursing in post-surgery elderly patients in intensive care units (ICU).
METHODS
From March 2019 to August 2020, a total of 167 elderly patients admitted to the ICU in Changzhou No. 2 People's Hospital, the Affiliated Hospital of Nanjing Medical University were recruited as the study cohort. They were divided into a test group (n=85) and a control group (n=82). The patients in the control group underwent routine nursing, and the patients in the test group underwent cluster nursing in addition to the nursing the control group underwent. The two groups' incidences of delirium, their quality of life, and their mental health were compared.
RESULTS
The total incidences of delirium in the test group were significantly lower than they were in the control group, and the delirium outcome rate was significantly higher than it was in the control group. A comparison of the Acute Physiology and Chronic Health Evaluation (APACHE ll) and Symptom Checklist-90 (SCL-90) scores before and after the nursing showed that the test group had notably lower scores than the control group. In addition, the nursing satisfaction rate in the test group was 88.24%, which was significantly higher than the rate in the control group (73.17%). The hospitalization expenses of the test group were lower, with a notably improved quality of life.
CONCLUSION
Cluster nursing can reduce the incidence of delirium and improve the quality of life and mental health of post-surgery elderly ICU patients.
目的
探讨集束化护理在重症监护病房（ICU）老年术后患者中的应用效果。
方法
选取2019年3月至2020年8月在南京医科大学附属常州第二人民医院ICU住院的167例老年患者作为研究对象。将其分为试验组（n = 85）和对照组（n = 82）。对照组患者接受常规护理，试验组患者在接受对照组护理的基础上接受集束化护理。比较两组患者的谵妄发生率、生活质量及心理健康状况。
结果
试验组谵妄总发生率显著低于对照组，谵妄转归率显著高于对照组。护理前后急性生理与慢性健康状况评分系统（APACHEⅡ）和症状自评量表（SCL - 90）评分比较，试验组评分显著低于对照组。此外，试验组护理满意度为88.24%，显著高于对照组（73.17%）。试验组住院费用较低，生活质量明显改善。
结论
集束化护理可降低老年ICU术后患者谵妄的发生率，提高其生活质量和心理健康水平。
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