Abstract：Objective To explore the value of critical-care pain observation tool (CPOT) scoring oriented nursing intervention in the prevention and control of delirium in patients with mechanical ventilation. Methods A total of 72 patients with mechanical ventilation admitted to Fuyang Cancer Hospital of Anhui Province from January 2020 to April 2022 were selected and divided into control group and observation group according to random number table method, with 36 cases in each group. Control group was treated with routine delirium prevention and control measures, and observation group was treated with CPOT scoring-oriented nursing on the basis of control group. The incidence of delirium, duration of delirium, incidence of adverse reactions such as unplanned extubation, man-machine confrontation, duration of mechanical ventilation, and length of ICU stay were compared between the two groups. Results The delirium incidence in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05). The incidence of unplanned extubation and man-machine confrontation in observation group was lower than control group, and the difference was statistically significant (P＜0.05). There were no significant differences in the proportions of ventilator- associated pneumonia, infusion extravasation, tube biting and sputum aspiration obstruction between the two groups (P＞0.05). Delirium duration in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05). There was no significant difference in mechanical ventilation time and ICU stay time between the two groups (P＞0.05). Conclusion The CPOT scoring-oriented nursing intervention applied to mechanical ventilation patients can promote the reduction of delirium risk, reduce the incidence of unplanned extubation and man-machine confrontation, and reduce delirium duration. It is an early nursing supplement for delirium prevention in mechanical ventilation patients, but has no significant effect on mechanical ventilation duration and ICU stay time.
齐丽娟 李敏 杨标. 以CPOT评分导向的护理干预对机械通气患者谵妄的防控价值[J]. 中国医药导报, 2023, 20(13): 189-192.
QI Lijuan LI Min YANG Biao. Value of CPOT scoring - oriented nursing intervention on prevention and control of delirium in patients with mechanical ventilation. 中国医药导报, 2023, 20(13): 189-192.
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