CAJ | 학술논문

目的：探讨集束化护理对心外术后ICU谵妄患者的影响。方法：选择2013年2-11月入住ICU的患者70例，随机分为干预组（n=35）和对照组（n=35），干预组在常规护理措施的同时，应用集束化护理。对照组采用常规护理。结果：与对照组比较，干预组的谵妄发生率降低，ICU治疗时间与总住院日缩短，28 d生存率增高，差异具有统计学意义（P<0.05）。结论：集束化护理作为主动预防措施较于传统的措施具有针对性和有效性，能有效降低心外术后患者ICU谵妄的发生率，值得临床推广使用。
목적：탐토집속화호리대심외술후ICU섬망환자적영향。방법：선택2013년2-11월입주ICU적환자70례，수궤분위간예조（n=35）화대조조（n=35），간예조재상규호리조시적동시，응용집속화호리。대조조채용상규호리。결과：여대조조비교，간예조적섬망발생솔강저，ICU치료시간여총주원일축단，28 d생존솔증고，차이구유통계학의의（P<0.05）。결론：집속화호리작위주동예방조시교우전통적조시구유침대성화유효성，능유효강저심외술후환자ICU섬망적발생솔，치득림상추엄사용。
Objective:To investigate the influence of cluster intervention strategies on cardiac postoperation patient. Method:70 cardiac postoperation patients in ICU were collected and divided into the intervention group(n=35) and control group(n=35). The control group were given the conventional nursing.The intervention group were cluster intervention strategies on the basis of conventional nursing measures. Result:Intervention group reduced the incidence of delirium thick,shorten ICU treatment time and total hospital stay,increased 28 d the survival rate ,there were significantly different between the two groups(P<0.05).Conclusion:As active preventive measures,compared with the traditional measures,cluster intervention strategies are targeted and effective,can effectively reduce ICU delirium incidence rate of cardiac postoperation patients,it is worthy of clinical use.