多维护理干预对新型冠状病毒肺炎患者谵妄发生率的影响
The Effect of Multidimensional Nursing Interventions on the Incidence of Delirium in Patients with COVID-19.
作者信息
Hashemi Shahin, Jahani Simin, Sayadi Neda, Maraghi Elham, Yaghoubi Shoeleh
机构信息
Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
出版信息
Iran J Nurs Midwifery Res. 2024 Nov 20;29(6):714-719. doi: 10.4103/ijnmr.ijnmr_59_23. eCollection 2024 Nov-Dec.
BACKGROUND
In patients with coronavirus disease 2019 (COVID-19), the incidence of delirium has been increased due to the nature of the disease and the specific protective protocols implemented to control the outbreak of this disease. The purpose of this study was to determine the effect of multidimensional nursing interventions on the incidence of delirium in patients with COVID-19.
MATERIALS AND METHODS
A quasiexperimental study (preintervention, postintervention assessment) was conducted in168 patients (84 patients in each group) with COVID-19 admitted to the general wards of in , , between May and June 2021. At first, based on inclusion criteria, the control group was selected to prevent information transmission between the study groups. The control group was treated as usual, but the intervention group received a three-part intervention that included nurse-related, patient-related, and environment-related measures. A Demographic Information Form and the Richmond Agitation Sedation Score and the Intensive Care Delirium Screening Checklist were completed for each patient. The collected data were analyzed.
RESULTS
25.30% of patients in the control group and 10.50% of patients in the intervention group experienced delirium ( , < 0.05). The results showed that the incidence of delirium was significantly lower in the intervention group. The mean number of days during which the patients experienced delirium was insignificantly lower in the intervention group ( = , > 0.05). The mean length of hospital stay was also significantly lower in the control group (, < 0.05).
CONCLUSIONS
The multidimensional nursing interventions effectively reduced the incidence of delirium in patients with COVID-19.
背景
在2019冠状病毒病（COVID-19）患者中，由于疾病的性质以及为控制该疾病爆发而实施的特定防护方案，谵妄的发生率有所增加。本研究的目的是确定多维度护理干预对COVID-19患者谵妄发生率的影响。
材料与方法
2021年5月至6月期间，在[医院名称1]、[医院名称2]、[医院名称3]综合病房收治的168例COVID-19患者中进行了一项准实验研究（干预前、干预后评估）。首先，根据纳入标准选择对照组，以防止研究组之间的信息传递。对照组按常规治疗，但干预组接受了包括护士相关、患者相关和环境相关措施在内的三部分干预。为每位患者填写了一份人口统计学信息表、里士满躁动镇静评分表和重症监护谵妄筛查清单。对收集到的数据进行了分析。
结果
对照组25.30%的患者和干预组10.50%的患者发生了谵妄（[具体统计值]，P<0.05）。结果表明，干预组谵妄发生率显著较低。干预组患者发生谵妄的平均天数略低，但无统计学意义（[具体统计值]，P>0.05）。对照组的平均住院时间也显著较短（[具体统计值]，P<0.05）。
结论
多维度护理干预有效降低了COVID-19患者谵妄的发生率。
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