CAJ | 학술논문

目的：探讨家属协作的三阶段护理模式预防 ICU 患者发生谵妄的效果。方法便利选取2012年4月至2014年4月入住温州医学院附属第二医院 ICU 的患者164例，采用随机数字表法分为对照组80例及干预组84例。对照组采用 ICU常规护理，干预组在此基础上实施家属协作的三阶段护理模式，比较两组患者入住 ICU 期间谵妄的发生率。结果对照组有51例患者的重症监护谵妄筛查量表（the intensive care delirium screening checklist，ICDSC）评分≥4分，即出现了谵妄症状，发生率为63．75％；而干预组谵妄发生率为30．95％，两组差异有统计学意义（P ＜0．05）。结论以患者为中心、护士指导、家属积极参与的三阶段护理模式能有效预防 ICU 患者谵妄的发生。
목적：탐토가속협작적삼계단호리모식예방 ICU 환자발생섬망적효과。방법편리선취2012년4월지2014년4월입주온주의학원부속제이의원 ICU 적환자164례，채용수궤수자표법분위대조조80례급간예조84례。대조조채용 ICU상규호리，간예조재차기출상실시가속협작적삼계단호리모식，비교량조환자입주 ICU 기간섬망적발생솔。결과대조조유51례환자적중증감호섬망사사량표（the intensive care delirium screening checklist，ICDSC）평분≥4분，즉출현료섬망증상，발생솔위63．75％；이간예조섬망발생솔위30．95％，량조차이유통계학의의（P ＜0．05）。결론이환자위중심、호사지도、가속적겁삼여적삼계단호리모식능유효예방 ICU 환자섬망적발생。
Objective To discuss the effect of family participated three stages nursing model in the prevention of delirium for patients in ICU.Methods By convenience sampling,164 patients were selected and randomly divided into control group (n =80)and intervention group(n =84).The control group received routine ICU nursing,while the intervention group received family participated three stages nursing model on the basis of routine care.The incidence of delirium in ICU were compared between two groups.Results The ICDSC score of 51 patients was ≥ 4 in control group,which means the delirium happened and the ratio was 63.75%,while the incidence of delirium in intervention group was 30.95% (P < 0.05).Conclusion The patient centered,nurses guiding with family participated three stages nursing model could effectively prevent the occurrence of delirium.