Investigation of ICU delirium management status in two classⅢ grade A hospitals in Beijing
10.3760/cma.j.issn.1674-2907.2017.18.009
- VernacularTitle:北京市两所三级甲等医院ICU谵妄临床管理现状调查
- Author:
Jinglian LI
1
;
Fangyu YANG
;
Ying WU
;
Ting DENG
;
Xing REN
Author Information
1. 首都医科大学护理学院
- Keywords:
Intensive care units;
Delirium;
Clinical management;
Data collection
- From:
Chinese Journal of Modern Nursing
2017;23(18):2357-2361
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current status of ICU delirium management so as to provide reference for the clinical management of ICU delirium.Methods A total of 6 ICU units from two class Ⅲ grade A hospitals in Beijing were selected by convenient sampling. The spot investigation method was used to investigate the delirium management status and effect from June to September 2016.Results Six ICU units had neither developed a complete delirium management system and standardized process, nor systematically evaluated delirium risk factors. When delirium patients had symptoms, delirium was diagnosed according to the clinical experience in 6 ICU units, while specialist consultation was used in 3 ICU units. None of these units used any delirium screening tool. The delirium prevention rate was from 46.2% to 76.9%. The implementation rate of delirium treatment was 65.8%. Among 38 cases of delirium patients diagnosed by medical staff, 25 cases (65.8%) of which were treated. During the study, there were 106 cases of delirium patients; the incidence of delirium was 30.8%; the delirium identification rate of medical staff was 35.8%.Conclusions The normalization of routine monitoring of delirium in ICU is necessary. Prevention and treatment for delirium is inadequate. The effect of delirium management needs to be further improved.
