护理学报 ›› 2022, Vol. 29 ›› Issue (10): 39-42.doi: 10.16460/j.issn1008-9969.2022.10.039
ICU患者谵妄严重程度分级的研究进展
孙建华, 李奇, 谢铃莉, 赵明曦, 李鑫, 马鸿鸣, 万朝阳, 王新博, 王小亭
- 中国医学科学院北京协和医院 重症医学科,北京 100730
摘要： 目的 梳理ICU患者谵妄严重程度的国内外研究现状,为临床护理工作提供借鉴。方法 检索国内外相关文献,从ICU患者谵妄严重程度的相关概念、国内外研究现状、ICU谵妄严重程度常用的评估工具及重症患者谵妄治疗理念的转变等方面进行综述。结果 谵妄的严重程度与ICU患者较高的死亡率增加、长期认知功能下降相关;谵妄严重程度的判定不仅关注不同症状表现强度的总和,而且需要谵妄症状持续的时间;医务人员在运用谵妄严重程度评估工具时应掌握谵妄的核心症状群,明确工具应用的优缺点。结论 ICU患者谵妄严重程度的评估,促使量化分级评价谵妄,有助于科学的制定与实施谵妄管理方案,实时监测治疗效果与并发症,促进患者康复。
中图分类号:
- R473
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