ICU患者不适现状调查及其影响因素分析

ICU患者不适现状调查及其影响因素分析

解艳红许瑛史平蔡学联

浙江省浙江医院（解艳红，许瑛）；湖州师范学院医学院教研室（史平）；浙江省人民医院护理技能培训部（蔡学联）

出版日期:2016-10-25 发布日期:2016-10-25

The status and impact factors of discomfort among Intensive Care Unit patients

Online:2016-10-25 Published:2016-10-25

摘要/Abstract

摘要： 目的：调查 ICU患者不适现状，分析其影响因素，为制定针对性干预 ICU患者不适策略提供参考依据。方法：采用中文版 ICU患者不适评估量表（IPREA），简化急性生理学评分Ⅱ(SAPS II)，重症监护疼痛观察工具（CPOT），患者一般资料调查表等，对浙江省 3 家三级甲等医院 185 例 ICU 转入普通病房的患者进行调查。结果：本组 ICU患者不适评分中，口渴及孤单不适两项得分最高，寒冷和担心病情不被及时告知造成的不适两项得分最低；影响 ICU患者不适的因素分别是机械通气方式、婚姻状况、机械通气时间、入科 SAPS II评分、物理约束时间、镇静镇痛情况，共解释总变异的 31.2％。结论： ICU患者存在不同程度的不适，应根据影响因素的不同对患者进行针对性的护理干预，以改善 ICU患者的不适状况。

Abstract: Objective: To identify the status and impact factors of ICU patients' discomfort, and provide references for interventions of reducing ICU patients' discomfort level. Method: Totally 185 patients transferred from ICU in 3 tertiary Grade A hospitals were recruited in this study, the participants were investigated with Chinese version-IPREA questionnaire, Critical-Care Pain Observation Tool, Simplified Acute Physiology Score, Richmond Agitation-Sedation Scale and Disease-related Questionnaire. Results: The mean total score of discomfort scale was (3.35±0.93). Thirst and isolation got the highest scores, and coldness and lack of information got the lowest. Multiple step-wise regression analysis showed that mechanical ventilation, marital status, duration of mechanical ventilation, SAPS II score, physical constraint hours, sedation, accounted for 31.2% of the total variances. Conclusions: ICU patients experience significant levels of discomfort, clinical staff should take timely and appropriate intervention strategies to improve ICU patients' comfort.

解艳红许瑛史平蔡学联. ICU患者不适现状调查及其影响因素分析[J]. , 2016, 16(10): 1357-1362.