摘要
目的探讨重症监护病房(intensive care unit,ICU)患者术后发生谵妄(post-operation delirium,POD)危险因素。方法采用Meta分析方法,检索中英文数据库,搜集关于外科手术后ICU患者发生POD的相关文献,进行文献质量评价后,采用Revman 5.3软件进行数据分析。结果最终纳入文献14篇,其中外文10篇、中文4篇,共纳入5661例患者。Meta分析结果显示:酒精依赖、肾功能损伤、机械通气、脑卒中、高血压、糖尿病、左心射血分数<50%、急诊手术是术后ICU患者发生POD的危险因素(均P<0.05);吸烟史、性别,合并效应量无统计学意义(均P>0.05)。结论ICU患者术后发生POD危险因素较多,其中肾功能损伤、高血压和脑卒中等8项为主要的危险因素,医护人员在临床工作中应重视这些危险因素,并积极进行治疗和实施护理干预,以降低ICU术后患者POD的发生。
Objective To explore the risk factors of postoperative delirium among ICU patients.Methods Meta analysis was done by retrieving POD-relevant literature through electronic databases.The included papers by quality assessment were analyzed by Revman5.3.Results14papers,10English and4Chinese,were included for the analysis,involving5,661patients.Meta-analysis showed that the alcoholism,renal function impairment,mechanical ventilation,stroke,hypertension and diabetes,LVEF<50%and emergency operation were the risk factors of postoperative delirium(all P<0.05).Conclusions The risk factors of postoperative POD in ICU patients include alcoholism,renal function impairment,mechanical ventilation,stroke,hypertension and diabetes,LVEF<50%and emergency operation.Medical staffs should pay more attentions to the intervention into those risk factors in order to reduce the incidence rate of POD and improve the quality of clinic treatment.
作者
邢焕民
于思淼
吕冬梅
范宇莹
Xing Huanmin;Yu Simiao;Lv Dongmei;FanYuying(Nursing School of Haerbin Medical University the Second Affiliated Hospital of Haerbin Medical University,Haerbin,150000,China)
出处
《现代临床护理》
2018年第1期1-9,共9页
Modern Clinical Nursing
基金
哈尔滨市应用技术研究与开发项目(科技创新人才)
项目编号为2014RFQGJ001
