CAJ | 학술논문

目的：探讨早期活动干预对 ICU 机械通气患者谵妄发生率以及相关护理并发症的影响。方法86例接受机械通气治疗的ICU 患者按入科时间随机分为观察组和对照组，对照组按危重患者常规护理方法进行护理干预，观察组在常规护理基础上，对患者实施早期活动干预。使用 CAM-ICU 量表评估2组患者谵妄情况，同时，观察患者相关护理并发症的发生率。结果入 ICU 8h 内2组患者谵妄发生率无差异，而观察组患者48h、转出 ICU 前以及入住 ICU 期间谵妄总的发生率均明显低于对照组。在护理并发症方面，观察组患者呼吸机相关性肺炎、深静脉血栓以及肌肉萎缩的发生率低于对照组，而非计划性拔管及跌倒的发生率2组患者比较无统计学差异。结论早期活动干预降低 ICU 机械通气患者谵妄发生率，是预防发生谵妄的有力措施。
목적：탐토조기활동간예대 ICU 궤계통기환자섬망발생솔이급상관호리병발증적영향。방법86례접수궤계통기치료적ICU 환자안입과시간수궤분위관찰조화대조조，대조조안위중환자상규호리방법진행호리간예，관찰조재상규호리기출상，대환자실시조기활동간예。사용 CAM-ICU 량표평고2조환자섬망정황，동시，관찰환자상관호리병발증적발생솔。결과입 ICU 8h 내2조환자섬망발생솔무차이，이관찰조환자48h、전출 ICU 전이급입주 ICU 기간섬망총적발생솔균명현저우대조조。재호리병발증방면，관찰조환자호흡궤상관성폐염、심정맥혈전이급기육위축적발생솔저우대조조，이비계화성발관급질도적발생솔2조환자비교무통계학차이。결론조기활동간예강저 ICU 궤계통기환자섬망발생솔，시예방발생섬망적유력조시。
Objective To study the incidence of delirium and Nursing complications after conolucting early activity for Patients with mechan-ical ventilation in ICU.Methods 86 ICU Patients with mechanical ventilation were randomly divided into observation group and control group according to the Admission time.The control group received routine nursing for critical or intensive patients,while the observation group re-ceived early nursing intervention.Accessed patients with CAM-ICU and observed the incidence of Nursing care of the complications.Results The incidence of delirium was similar in the first 8 hours after being admitted,while the total incidences of delirium at 48 hours,before be-ing transferred from Icu and during in Icu of observation group were lower than control group.The incidences of ventilator -associated pneumo-nia,cleep vein thrombosis and muscle atrophyh in observation group were lower than in control group,while case of unplanned extubation and fall between the two groups had no significant differences.Conclusion Early activity can reduce the cases of Delirium with mechanical venti-lation in ICU,it is a effective measure to prevent Delirium.