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当代护理

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Contemporary Nursing. 2026; 7: (9) ; 10.12208/j.cn.20260472 .

Clinical observation on delirium screening and comprehensive nursing intervention in ICU
ICU谵妄筛查与综合护理干预的临床效果观察

作者： 黄文娇 *

广西钦州市第二人民医院 广西钦州

*通讯作者： 黄文娇,单位：广西钦州市第二人民医院 广西钦州; ；

引用本文: 黄文娇 ICU谵妄筛查与综合护理干预的临床效果观察[J]. 当代护理, 2026; 7: (9) : 31-33.
Published: 2026/9/10 10:50:12

摘要

目的 探讨ICU谵妄筛查联合综合护理干预对重症患者的临床应用效果，为降低ICU患者谵妄发生率、改善患者预后提供临床参考依据。方法 选取我院2024年1月-2024年12月ICU收治的100例患者为研究对象，患者年龄30~70岁，采用随机数字表法分为对照组和实验组，各50例。对照组实施ICU常规护理模式，实验组在常规护理基础上开展规范化ICU谵妄筛查及综合护理干预。对比两组患者谵妄发生率、谵妄持续时间、ICU住院时长及护理满意度。结果 实验组谵妄发生率为8.00%，显著低于对照组的26.00%；实验组谵妄持续时间、ICU住院时长均短于对照组；实验组护理总满意度为96.00%，高于对照组的82.00%，各项数据对比差异均具有统计学意义（P<0.05）。结论 对ICU患者实施常态化谵妄筛查联合综合护理干预，可有效降低患者谵妄发生风险，缩短谵妄持续时间与住院周期，提升临床护理质量与患者满意度，改善患者康复预后，值得在ICU临床推广应用。

关键词： ICU患者；谵妄筛查；综合护理干预；临床效果；预后

Abstract

Objective To investigate the clinical efficacy of ICU delirium screening combined with comprehensive nursing intervention in critically ill patients, providing clinical reference for reducing delirium incidence and improving patient outcomes.
Methods A total of 100 patients admitted to the ICU from January to December 2024 were enrolled as study subjects, aged 30–70 years. They were randomly divided into a control group and an experimental group (each comprising 50 cases) using a random number table. The control group received standard ICU nursing care, while the experimental group received standardized ICU delirium screening and comprehensive nursing intervention in addition to routine care. The delirium incidence rate, duration of delirium, length of ICU hospitalization, and nursing satisfaction were compared between the two groups.
Results The delirium incidence rate in the experimental group was 8.00%, significantly lower than that in the control group (26.00%). The duration of delirium and length of ICU hospitalization were shorter in the experimental group. The overall nursing satisfaction rate in the experimental group was 96.00%, higher than that in the control group (82.00%). All differences were statistically significant (P <0.05).
Conclusion   Implementation of routine delirium screening combined with comprehensive nursing intervention in ICU patients can effectively reduce delirium risk, shorten delirium duration and hospital stay, improve clinical nursing quality and patient satisfaction, and enhance rehabilitation outcomes, making it worthy of widespread clinical application in ICUs.

Key words： ICU patients; Delirium screening; Comprehensive nursing intervention; Clinical efficacy; Prognosis

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