The effect of early bundled nursing intervention on delirium in elderly ICU patients
早期集束化护理干预对ICU老年患者谵妄的效果

摘要

目的 探讨早期集束化护理干预对ICU老年患者谵妄发生率、持续时间及预后的影响，为临床优化ICU老年患者护理方案提供依据。方法 选取2024年1月至2025 年1月期间，在我院ICU收治的老年谵妄患者80例作为研究对象，根据护理模式的差异按乱数表法进行分组，对照组实施ICU常规护理，观察组在常规护理基础上实施早期集束化护理干预，对比两组护理满意度；谵妄发生率以及谵妄持续时间。结果 观察组护理满意度明显高于对照组（P＜0.05）；谵妄发生率低于对照组（P＜0.05）；谵妄持续时间短于对照组（P＜0.05）。结论 早期集束化护理可有效降低ICU老年患者谵妄发生率，缩短谵妄持续时间与ICU住院时间，改善意识状态、睡眠质量及营养状况，且安全性良好，值得临床推广。

Abstract

Objective To explore the impact of early bundled nursing intervention on the incidence, duration, and prognosis of delirium in elderly ICU patients, and to provide a basis for optimizing nursing plans for elderly ICU patients in clinical practice.
Methods 80 elderly delirium patients admitted to our ICU from January 2024 to January 2025 were selected as the research subjects. According to the differences in nursing modes, they were divided into two groups using a random number table method. The control group received routine ICU care, while the observation group received early bundled nursing intervention on the basis of routine care. The satisfaction of the two groups with nursing was compared; The incidence and duration of delirium.
Results The nursing satisfaction of the observation group was significantly higher than that of the control group (P<0.05); The incidence of delirium was lower than that of the control group (P<0.05); The duration of delirium was shorter than that of the control group (P<0.05).
Conclusion   Early bundled nursing can effectively reduce the incidence of delirium in elderly ICU patients, shorten the duration of delirium and ICU stay, improve consciousness, sleep quality, and nutritional status, and has good safety. It is worthy of clinical promotion.