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Analysis of knowledge and influencing factors of ICU patients′ knowledge about early activities |
Fang Lingyan |
Intensive Care Unit, Hangzhou First People′s Hospital, Hangzhou 310006, China |
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Abstract Objective To understand the status of ICU patients′ knowledge about early activities and to explore their influencing factors. Methods Questionnaires were used to investigate 200 ICU patients with stable disease situation. Results Male patients accounted for 55.50% (111/200), and female patients accounted for 45.50% (89/200), with the average age (56.65±4.85)years old. Early activity-related knowledge of the patents was not high, and the knowledge of grades of early activity program was the lowest level of knowledge, accounting for 14.00% (28/200). There were statistically significant differences in the scores of patients with different educational levels, payment methods, working status, ICU stay, SAPS Ⅱ score, mechanical ventilation, and sedative analgesia in early activity-related knowledge scores (P<0.05). The score of knowledge of patients with working status for the job, pay for medical insurance, mechanical ventilation for oxygen, and non-sedative analgesic was higher than that of other patients. Multivariate logistic regression analysis showed that the level of culture (OR=3.768, OR 95%CI=1.189-10.676) and the time during the stay in the ICU (OR=3.053, OR 95% CI=1.178-7.867), the SAPS Ⅱscore(OR=0.062, OR 95%CI=0.010-0.408) were important factors influencing the knowledge of patients with intensive care in the intensive care unit. Conclusion Early activity-related knowledge of ICU patients is not high. The higher the level of culture, the longer the ICU stay, the higher the acute physiological score of patients with early activity. There is a need to improve the awareness of ICU patients and their families on early activity-related knowledge.
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Received: 11 September 2017
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[1] 陈丽霞,纪代红,王良,等.ICU患者睡眠障碍及其干预策略的研究进展[J].中华护理杂志,2016,51(6):721-724. [2] 昝德芳,张慧,郭海凌,等.ICU患者血流感染相关因素的病例对照研究[J].中国实用护理杂志,2017,33(6):406-409. [3] 陈海丽, 董小余, 盛苗苗,等.ICU患者失禁相关性皮炎危险因素分析[J].中国医院统计, 2017, 24(4):254-256. [4] 吴桂莲, 李大祥.ICU机械通气患者呼吸机相关性肺炎危险因素分析[J].中国医院统计, 2015,22(3):219-220. [5] 王金荣,高攀,郭淑芬,等.ICU患者医院感染的死亡危险因素分析:2009年至2015年864例病例回顾[J].中华危重病急救医学,2016,28(8):704-708 [6] HRUSKA P. Early Mobilization of Mechanically Ventilated Patients[J]. Crit Care Nurs Clin North Am, 2016,28(4):413-424. [7] 林建潮, 王灵红, 周新萍.重症监护室医院感染危险因素的Meta分析[J].中国医院统计, 2015(3):170-172. [8] 董琳琳,姜丽杰,刘莹,等.两种评分方法预测ICU急性脑卒中患者死亡率准确性分析[J].中国急救医学,2016,36(6):533-538. [9] 史晨玉,陆萍静,柳晓,等.维持性血液透析患者口渴感的研究现状[J].护理学杂志,2016,31(13):95-98. [10]刘敏.早期活动对ICU患者焦虑抑郁情绪的影响[J].现代养生,2017(4):125. [11]柯卉,黄海燕.四级早期活动与康复锻炼疗法预防病人ICU获得性衰弱的效果观察[J].护理研究,2016,30(18):2202-2205. [12]NYDAHL P, SRICHAROENCHAI T, CHANDRA S,et al. Safety of Patient Mobilization and Rehabilitation in the Intensive Care Unit. Systematic Review with Meta-Analysis[J]. Ann Am Thorac Soc. 2017,14(5):766-777. [13]尹光啸,谢晓洁,宋琴芬,等.ICU患者早期活动的研究进展[J].中国护理管理,2016,3(4):551-554. [14]俞萍,任国琴,陆小敏,等.早期活动与康复计划在ICU机械通气患者中的应用[J].护士进修杂志,2016,6(2):161-164. [15]陈佳丽,管雨婷,朱晓玲,等.早期活动对ICU患者焦虑抑郁情绪的影响[J].护理学杂志,2017,32(2):69-72. [16]AZUH O, GAMMON H, BURMEISTER C, et al. Benefits of Early Active Mobility in the Medical Intensive Care Unit: A Pilot Study[J]. American Journal of Medicine, 2016,129(8):866-871. [17]DAVID E, ANEKWE, MSC,et al. Interprofessional Survey of Perceived Barriers and Facilitators to Early Mobilization of Critically Ill Patients in Montreal, Canada[J]. Journal of Intensive Care Medicine,2017(1):1-9. [18]孙文平,唐坎凯,袁义厘.ICU患者不适现状调查及影响因素分析[J].中国现代医生,2016,54(19):123-126. [19]熊洁,赖昕,杨蓉.ICNSS评分、APACHEⅡ评分与SAPSⅡ评分系统对急诊患者治疗状况的评价比较[J].实用临床医药杂志,2016,20(22):21-23. [20]张娟.护理专案在重症监护室留置胃管病人护理安全管理中的应用[J].中国医院统计, 2016, 23(6):449-451. [21]董小余, 盛苗苗, 方少样. ICU病房导管相关性医院感染的统计分析[J].中国医院统计, 2017, 24(3):170-172. |
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