CAJ | 학술논문

ICU获得性谵妄和乏力在重症监护室(ICU)有较高的发生率,其发生会延长患者机械通气时间及住院时间,增加患者死亡风险,遗留较长时间的认知障碍或功能受损.预防ICU患者谵妄和乏力发生是提高护理质量的关键.ICU获得性谵妄和乏力的发生一般是多因素作用的结果,很难通过单一的措施进行很好的预防.ABCDE镇静镇痛集束是基于证据的预防谵妄和ICU获得性谵妄的综合措施.本文就ABCDE镇静镇痛集束进行综述,介绍该集束实施方法、安全性及在应用中存在的问题,以供临床参考.
ICU획득성섬망화핍력재중증감호실(ICU)유교고적발생솔,기발생회연장환자궤계통기시간급주원시간,증가환자사망풍험,유류교장시간적인지장애혹공능수손.예방ICU환자섬망화핍력발생시제고호리질량적관건.ICU획득성섬망화핍력적발생일반시다인소작용적결과,흔난통과단일적조시진행흔호적예방.ABCDE진정진통집속시기우증거적예방섬망화ICU획득성섬망적종합조시.본문취ABCDE진정진통집속진행종술,개소해집속실시방법、안전성급재응용중존재적문제,이공림상삼고.
Delirium and ICU-acquired weakness fatigue have high incidence in ICU. Delirium and ICU-acquired fatigue will prolong mechanical ventilation and hospital stay, increase mortality, and cause cognitive disorder and lose of function. Preventing delirium and ICU-acquired fatigue is key for quality of nursing care. Any single measure alone is dififcult for preventing delirium and ICU-acquired fatigue due to it's complexities'. The ABCDE sedatives and analgesics bundle is an evidence-based and multidisciplinary strategy to reduce sedative exposure, promote liberation from mechanical ventilation, and improve post-ICU cognitive function and functionality.The purpose of this article is explore the ABCDE bundle for management the sedatives and analgesics.