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中文摘要：
目的探讨分型护理干预对不同型谵妄（兴奋型,抑郁型,混合型）危重患者的护理效果。方法对61例ICU谵妄患者给予2周分型护理干预,并在干预前、后分别进行重症监护谵妄筛选检查表（The Intensive Care Delirium Screening Checklist,ICDSC）测评。结果经过2周分型护理干预后,61例患者意识水平、注意力、定向力、精神运动性激越、不恰当语言情绪、睡眠觉醒周期均得到提高,差异有统计学意义（P〈0.05）,而幻觉精神状态、症状波动无明显改善,干预前后差异无统计学意义（P〉0.05）。结论对不同谵妄患者进行分型护理干预,可有效改善谵妄患者意识水平、注意力、定向力、精神运动性激越、不恰当语言情绪、睡眠觉醒周期失调等症状。
英文摘要：
Objective To explore the effect of typing nursing interventions for different types of delirium（hyperactive, hyporactive and mixed type ） in critically ill patients. Methods 61 cases of delirium patients were given typing nursing interventions for two weeks in ICU. The Intensive Care Delirium Screening Checklist（ICDSC） was used to evaluate all the patients. Results After two weeks, the a- bilities of 61 cases were improved, including consciousness, attention, orientation, psychomotor agitation, inappropriate language and emotion, sleep-wake cycle. There was statistically difference （P〈0.05）. While the mental state and symptom fluctuating did not changed, and show no statistically difference（P〉0.05）. Conclusion Typing nursing interventions could improve the abilities of consciousness, attention, orientation, psychomotor agitation, inappropriate language and emotion, sleep-wake cycle for delirium patients.
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