Construction and application effect of delirium prevention nursing program in ICU children
10.3760/cma.j.cn115682-20210901-03930
- VernacularTitle:ICU患儿谵妄预防护理方案的构建及应用效果
- Author:
Tingting XU
1
;
Weiying ZHANG
;
Conghui FU
;
Minjie JU
;
Ji LIU
;
Xiaoya YANG
Author Information
1. 上海交通大学医学院附属儿童医院重症医学科，上海 200062
- Keywords:
Intensive Care Unit;
Child;
Delirium;
Prevention;
Nursing program
- From:
Chinese Journal of Modern Nursing
2022;28(10):1268-1274
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the delirium prevention nursing program in ICU children and explore its clinical effect.Methods:The literature analysis and expert meeting method were used to construct the delirium prevention nursing program in ICU children. Using the convenient sampling method, a total of 315 ICU children who were admitted to Children's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from February to July 2020 were selected as the control group and 309 ICU children admitted from August 2020 to January 2021 were selected as the experimental group. The control group adopted routine nursing, while the experimental group adopted delirium prevention nursing program in ICU children on the basis of routine nursing. The differences in the incidence of delirium, mechanical ventilation time, ICU stay and ICU costs were compared between the two groups.Results:After the intervention, the incidence of delirium in the experimental group was 15.9% (49/309) and the ICU stay was 4.0 (2.5, 7.0) days, which were lower than 29.2% (92/315) and 5.0 (3.0, 10.0) d in the control group, and the differences were statistically significant (χ 2=15.892, Z=-2.341; P<0.05) . Conclusions:The establishment and application of delirium prevention nursing program for ICU children can effectively reduce the incidence of delirium in ICU children and length of stay in ICU.
