[1]李瑛,李贤煌,胡燕,等.心脏外科术后患者发生谵妄危险因素的Meta分析[J].军事护理,2022,39(06):72-76.[doi:10.3969/j.issn.1008-9993.2022.06.018]
　LI Ying,LI Xianhuang,HU Yan,et al.Risk Factors of Delirium Occurrence in Patients After Cardiac Surgery: Meta-analysis[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(06):72-76.[doi:10.3969/j.issn.1008-9993.2022.06.018]
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心脏外科术后患者发生谵妄危险因素的Meta分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年06期
页码:
72-76
栏目:
循证护理
出版日期:
2022-06-15

文章信息/Info

Title:
Risk Factors of Delirium Occurrence in Patients After Cardiac Surgery: Meta-analysis
文章编号:
1008-9993(2022)06-0072-05
作者:
李瑛1; 2; 李贤煌2; 胡燕1; 肖伽3; 李冬英1
(1.南昌大学第二附属医院 重症医学科,江西 南昌 330000; 2.南昌大学 护理学院,江西 南昌 330006; 3.浙江省人民医院 康复科,浙江 杭州310014)
Author(s):
LI Ying1; 2; LI Xianhuang2; HU Yan1; XIAO Jia3; LI Dongying1
(1.Department of Critical Care Medicine,Second Affiliated Hospital of Nanchang University,Nanchang 330000,Jiangxi Province,China; 2.School of Nursing,Nanchang University,Nanchang 330006,Jiangxi Province,China; 3.Department of Rehabilitation,Zhejiang Provincial People's Hospital,Hangzhou310014,Zhejiang Province,China)
关键词:
心脏外科手术;  谵妄;  危险因素;  Meta分析
Keywords:
cardiac surgery;  delirium;  risk factors;  Meta-analysis
分类号:
R473.6
DOI:
10.3969/j.issn.1008-9993.2022.06.018
文献标志码:
A
摘要:
目的 明确心脏外科术后患者发生谵妄的危险因素,为早期识别和预防谵妄发生提供依据。方法 计算机检索PubMed、Embase、Web of Science、知网、万方等数据库中,选择心脏外科患者发生谵妄危险因素的文献,搜索建库至2020年12月,利用RevMan 5.3软件进行Meta分析。 结果 共纳入25篇文献,总样本量12 147例,谵妄发生例数为2250例。高血压(OR=2.47)、入住ICU 时间(OR=5.47)、糖尿病(OR=1.47)、术后房颤(OR=1.69)、房颤病史(OR=1.90)、APACHEⅡ评分(OR=1.24)、简易精神状态检查评分(OR=5.80)、脑血管事件(OR=3.75)、肌酐水平(OR=2.44)、手术时间(OR=1.35)、术后疼痛(OR=3.74)等11项因素为心脏术后谵妄的危险因素。结论 医护人员可依据上述11项因素识别心脏术后谵妄的高发人群,并采取有效预防措施,减少心脏术后谵妄的发生。
Abstract:
Objective To clarify the risk factors of delirium in patients after cardiac surgery and provide evidence for early identification and prevention of delirium.Methods The articles on the risk factors of delirium in cardiac surgery patients from inception to December 2020 were searched in PubMed,Embase,Web of Science,CNKI,Wanfang database,etc.And analyzed by Revman 5.3 software.Results A total of 25 articles were included,with a total sample size of 12 147 cases and 2250 cases of delirium.Hypertension(OR=2.47),admission time to Intensive Care Unit(ICU)(OR=5.47),diabetes mellitus(OR=1.47),postoperative atrial fibrillation(OR=1.69),history of atrial fibrillation(OR=1.90),APACHE Ⅱ score(OR=1.24),MMSE score(OR=5.80),cerebrovascular events(OR=3.75),creatinine level(OR=2.44),operation time(OR=1.35),postoperative pain(OR=3.74)were the risk factors for the delirium occurrence after cardiac surgery.Conclusions According to the above-mentioned 11 factors,medical staff can identify the high incidence group of postoperative delirium and take effective preventive measures to reduce the occurrence of postoperative delirium.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-06-23 【 修回日期 】 2022-04-26
【 基金项目 】 2020年江西省研究生创新专项课题(YC2020-S139); 江西省科学技术厅基金立项项目(20202BBGL73043)
【 作者简介 】 李瑛,硕士在读,从事重症护理研究
【 通信作者 】 李冬英,电话:0791-86260510
更新日期/Last Update: 2022-06-15