Autori: Chen Yiling
Ustanova zaposlenja: Taiwan
Ključne riječi: Delirium, Acute confusion, Sugical intensive care unit, risk factor
Kongres/Simpozij: ”5. Međunarodni kongres HDMSARIST-a” i ”8. Međunarodni kongres WFCCN-a”
Mjesto i vrijeme održavanja: Šibenik, 12.-15. travnja 2012. godine
Background
Delirium is one of the most serious problem in the intensive care unit (ICU),
which might complicated with serious problem like prolong hospital stay,
increased medical expense and mortality.
We plan to analysis the incidence and risk factors related to delirium in ICU
Method
This is a descriptive , related , and prospective study. For the convenient
sampling,30 patients were collected the surgical intensive care unit in one
medical center from 1th October,2011 to 6th Norvenber ,2011.The CAM-ICU and
RASS score was used to assessed and diagnose Delirium . The data was analyzed
by Chi-square,t-test.
Result
According to our study, the incidence of acute delirium in SICU is 46.7%. There
is no significant statistic difference in disease type, gender and age .
Solitary and alcoholism(P=.05), restriction, fever and indwelling
catheters(P< .02), high TISS score and low GCS score (P< .03) is statistic
difference significantly.
Discussion
For ICU patient, nursing staff should be cautious to prevent the delirium risk
factors , including the necessity for indwelling catheters and physical
restriction on patients , and the treatment of fever episode. Pay attention to
high TISS score and low GCS score patients, in order to reduce the incidence of
delirium.
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