Application of graded nursing intervention based on the early delirium prediction model to prevent delirium in ICU patients
10.3760/cma.j.issn.1672-7088.2019.09.015
- VernacularTitle: 基于谵妄预测模型的风险分级预防护理在ICU患者中的应用研究
- Author:
Luxi DENG
1
;
Lan CAO
;
Yan HUANG
;
Ying TIAN
;
Xiaolin ZENG
;
Shuai XIAO
;
Jian LI
Author Information
1. Department of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha 410008, China
- Publication Type:Journal Article
- Keywords:
ICU delirium;
Pre-Deliric model;
Risk;
Graded nursing
- From:
Chinese Journal of Practical Nursing
2019;35(9):704-708
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the application effect of graded nursing intervention for ICU patients combined with the Pre-Deliric prediction model.
Methods:A total of 288 ICU patients were elected and divided into the control group (141 cases from May 2017 to October 2017) and the intervention group (147 cases from November 2017 to April 2018) according to hospitalization time. The control group received conventional delirium prevention measures. The intervention group was assessed within 24 h following admission with Pre-Deliric prediction model to screen the risk of delirium, and then they received grading prevention care based on the assessment results of delirium risks. The data of this study were collected by Numeric Rating Scale, Critical-Care Pain Observation Tool, Richmond Agitation and Sedation Scale, Confusion Assessment Method for the ICU. The incidence and duration of delirium, 28d survival rate, ICU length of stay of the two groups were statistically analyzed.
Results:Compared with the control group, we detected that the incidence of delirium in the intervention group was significantly lower (χ2=5.043, P<0.05), 21.7%(32/147) vs. 35.5%(50/141). Compared with the control group, we found that the duration of delirium in the intervention group was significantly shorter,(1.68±1.24) vs.(2.82±1.60)d, the ICU length of stay in the intervention group were significantly shorter than the control group(t=4.45, P<0.01), (3.42±3.02)d vs (6.21±4.56)d. There was no significant difference in the 28-day ICU survival rate between the two groups (P>0.05).
Conclusions:the risk assessment and grading nursing care combined with Pre-Deliric prediction model could effectively prevent the occurrence and shorten the duration of delirium, and also shorten the ICU length of stay.It was significant for improve the quality of nursing.
