ICU探视制度对酒精戒断综合征患者临床症状和不良反应的影响.pdfVIP

护理质量 Nursing Quality ICU探视制度对酒精戒断综合征患者临床 症状和不良反应的影响 邓艳丽 李梅华 [ 摘 要] 目的：调查半开放式和封闭式探视模式对酒精戒断综合征（AWS)患者临床症状和不良反应的影响。 方法：45 例AWS患者随机分为半开放式组(n=28）和封闭式组(n=17）。比较两组患者主要临床表现和不良反应。 结果：半开放式组 3d 的谵妄 CAM-ICU评分低于封闭式组（P0.05），7d 的AWS 评定量表评分、谵妄 CAM- ICU评分、抑郁自评量表（SDS) 评分、焦虑自评量表（SAS) 评分均低于封闭式组（P0.05）。半开放式组住 ICU 时间、AWS 持续时间、镇静药用量和伤人及自残倾向发生率低于封闭式组（P0.05）。两组的医院感染率无统 计学差异（P0.05）。结论：半开放式探视有利于缓解 AWS 病情，降低不良反应的发生，而不增加医院感染率， 可为探索未来 ICU探视制度提供借鉴。 [ 关键词 ] 探视制度；酒精戒断综合征；重症监护病房 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2016.07.020 The impact of visiting policy on symptoms and complications in patients with Alcohol Withdrawal Syndrome in Intensive Care Unit / DENG Yanli, LI Meihua // Department of Critical Care Medicine, the First Peoples Hospital of Chenzhou, Hunan province, 423000 China /// Chinese Nursing Management-2016,16(7): 949-952 [Abstract] Objective: To investigate the different impact of half-open and restricted visiting policy on symptoms and complications in patients with alcohol withdrawal syndrome (AWS). Methods: Forty-five patients with AWS were divided into half-open group (n=28) and restricted group (n=17). Clinical symptoms and adverse reaction between two groups were compared. Results: CAM-ICU score on day 3 in half-open group was significantly lower than restricted group (P0.05), and AWS scale score, CAM-ICU score, SDS score and SAS score on day 7 in half-open group were also significantly lower than restricted group (P0.05). In half-open group, ICU stay, AWS duration, and usage of sedative drugs were significantly lower compared to restricted group (P0.05), while there was no difference of hospital acquired infection rate. The occurrence of injur