摘要
目的探讨老年髋部骨折患者术后谵妄的影响因素与护理干预措施。方法对2016年2月至2018年4月于本院接受诊治的老年髋部骨折患者72例进行回顾性研究,依据术后患者是否发生谵妄分为谵妄组18例和无谵妄组54例。采用简易精神状态量表、视觉模拟评分法和精神错乱评估方法调查老年髋部骨折患者谵妄发生危险因素并提出护理对策。结果既往谵妄病史、手术时间长、术中出血量大、麻醉方式为全麻、术后疼痛评分高、认知功能障碍、术后发热以及术后低氧血症是引起谵妄的相关因素(P <0. 05);多因素回归分析结果显示,既往谵妄病史、手术时间长、术中出血量大、术后疼痛评分高、认知功能障碍、麻醉方式为全麻是引起谵妄的高危因素(P <0. 05)。结论了解引起老年髋部骨折患者术后谵妄的影响因素,有利于临床护士制订科学护理干预方案,促进患者康复,确保手术疗效。
Objective To explore the factors influencing postoperative delirium in elderly patients with hip fracture and its nursing intervention.Methods To conduct retrospective study on 72 elderly patients with hip fracture who were treated in our hospital from February 2016 to April 2018.According to whether the patients had postoperative delirium,a total of 18 patients were selected as the delirium group and 54 patients were selected as the non-delirium group.The simple mental state scale,visual analog scale and mental disorder assessment methods were used to investigate the risk factors of delirium in elderly patients with hip fracture,therefore proposed nursing strategies.Results The history of delirium,long operation time,large amount of intraoperative blood loss,general anesthesia,higher general postoperative pain score,cognitive dysfunction,postoperative fever and postoperative hypoxemia were related factors to delirium(P<0.05).Multivariate regression analysis showed that history of delirium,long operation time,large amount of intraoperative blood loss,high postoperative pain score,cognitive dysfunction and general anesthesia were high risk factors for delirium(P<0.05).Conclusion Understanding the influencing factors of postoperative delirium in elderly patients with hip fracture is beneficial to clinical nurses to develop scientific nursing intervention programs.It can promote patient recovery and ensure surgical outcomes.
作者
余娣
胡琴
朱月蓉
YU Di;HU Qin;ZHU Yue-rong
出处
《护理实践与研究》
2019年第9期18-20,共3页
Nursing Practice and Research
关键词
老年髋部骨折
术后谵妄
影响因素
护理干预
Elderly hip fracture
Postoperative delirium
Influencing factors
Nursing intervention
