Effect of analgesia and sedation scheme for ICU delirium among patients with cardiac surgery
10.3760/cma.j.issn.1672-7088.2018.09.004
- VernacularTitle:镇痛镇静调控方案对心脏外科术后患者ICU谵妄的影响
- Author:
Yinghua CAI
1
;
Zhenghong XU
;
Qinhong HUANG
;
Hong PAN
Author Information
1. 江苏省无锡市人民医院护理部
- Keywords:
Analgesia;
Sedation;
Thoracic surgery;
ICU delirium
- From:
Chinese Journal of Practical Nursing
2018;34(9):652-655
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of analgesia and sedation scheme on ICU delirium among patients with cardiac surgery. Methods A total of 235 patients undergoing mechanical ventilation were enrolled via simple random number sampling method from January to December,2016, and divided into the experimental group(117 cases)and the control group(118 cases).The experimental group received analgesia and sedation scheme designed by our department,and the control group received routine sedation protocol. The incidence of ICU delirium, the dosages of drugs, duration of mechanical ventilation, length of ICU stay were recorded. Results The compliance rate of shallow sedation in the experimental group was 87.17% (102/117), which was lower than 57.62% (68/118) in the control group with statistical difference(χ2=25.642,P<0.05).The incidence of ICU delirium in the experimental group was 17.09% (20/117), which was lower than 34.75% (41/118) in the control group with statistical difference (χ2=9.524, P<0.05). The dosages of sedation drugs were: dexmedetomidine, (269.46 ± 32.47) μg,disoprofol,(286.84±81.96)mg,the duration of mechanical ventilation was(14.31±1.43)h,the length of ICU stay was(16.02±1.25)h.Those data were all lower than those of the control group[(507.29±58.27) μg,(575.63±95.74)mg,(20.45±2.29)h,(22.82±2.45)h]with statistical difference(t=-5.529--4.371, P<0.05). Conclusion Analgesia and sedation scheme was worthy of popularization and application.
