An Analysis Of Status And Effect Factors Of ICU Syndrome Of Patients In Emergency Intensive Care Unit

Objective:To research the status of ICU syndrome in EICU patients,analyzing the main effect factors and provide evidence for nursing measurement developed to prevent and reduce the occurrence of ICU syndrome for EICU nurses.Methods:This is a cross-sectional study,selecting 170 cases patients who receive treatment and meet the inclusion and exclusion criteria at EICU of a hospital of Dalian by convenience sampling method from January 2015 to September 2015.1.All of the patients who meet the inclusion and exclusion criteria are requested to help to fill out EICU patients basic information and treatment information form by their family combined with patients medical records during the period of living at EICU.2.ICU syndrome assessment and record are done for patients who stay in EICU greater than or equal 24 hours by research team using CAM-ICU method every day in a fixed time period(24h,48 h,72h).3.Scores are given to describe patients' disease severity by APACHE II and the highest score is recorded at EICU during hospitalization.4.The ability of daily life of patients are evaluated by ADL and records are kept.5.Investigation of ICU environmental stress or and A pattern behavior type is conducted to patients by ICU environmental stress or questionnaire and A pattern behavior type questionnaire after they are transferred out of EICU.6.Using SPSS 19.0 package for data processing and statistical analysis.The measurement data is recorded by average±standard deviation(`x±s)and count data is recorded by rate and constituent ratio.The single-factor analysis of ICU syndrome of EICU patients is tested by Chi-square test and nonparametric,and multi-factor analysis is tested by binary logistic regression analysis with a standard of ?=0.05,?=0.10.Results:1.A total of 28 cases(16.47%)are with ICU syndrome in this study of 170 cases EICU patients.2.The diverse occurrence of ICU syndrome of different age EICU patients is statistically significant(P<0.05);The diverse occurrence of ICU syndrome of different educational background EICU patients is statistically significant(P<0.05);The diverse occurrence of ICU syndrome of EICU patients with or without hypertension history is statistically significant(P<0.05);The diverse occurrence of ICU syndrome of EICU patients with or without cerebral infarction history is statistically significant(P<0.05);The diverse occurrence of ICU syndrome of EICU patients with different APACHE II score is statistically significant(P<0.05);The diverse occurrence of ICU syndrome of patients with different staying time in EICU is statistically significant(P<0.05);The diverse occurrence of ICU syndrome of EICU patients with or without usage of invasive mechanical ventilation is statistically significant(P<0.05);The diverse occurrence of ICU syndrome of EICU patients with different ICU environmental stressor(physical surroundings,human environment,and treatment environment)is statistically significant(P<0.05);The diverse occurrence of ICU syndrome of EICU patients with different Barthel score is statistically significant(P<0.05);The diverse occurrence of ICU syndrome of EICU patients with different ability of daily life is statistically significant(P<0.05);The diverse occurrence of ICU syndrome of EICU patients with or without A pattern personality type is statistically significant(P<0.05).3.The ultimate age,Barthel score,ICU environmental stressor(human environment and treatment environment)enter into regression equation,logistic regression results showing that age(OR 1.065,95%C.I:1.014~1.119),Barthel(OR 0.969,95%C.I:0.944~0.994),human environment(OR 1.662,95 % C.I:1.167 ~ 2.036)and treatment environment(OR 1.890,95%C.I:1.158~3.085),which are risk factors of the occurrence of ICU syndrome for EICU patients.Conclusions:1.A total of 28 cases(16.47%)are with ICU syndrome in this study of 170 cases EICU patients.The incidence of ICU syndrome of EICU patients is slightly higher compared to previous foreign investigation about the incidence of EICU patients' ICU syndrome.2.The main risk factors of EICU patients' ICU syndrome occurring are age,Barthel score and the perception degree towards ICU environmental stress or(human environment,treatment environment).