集束化策略预防老年髋部骨折患者术后谵妄的效果

发布时间：2017-12-28 14:34

本文关键词：集束化策略预防老年髋部骨折患者术后谵妄的效果　出处：《安徽医学》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨集束化护理策略在预防老年患者髋部骨折术后谵妄(POD)的应用效果。方法选取2014年6月至2016年6月在安徽医科大学第四附属医院行手术治疗的老年髋部骨折患者63例,采用简单随机化方法将病例分为对照组31例及干预组32例。对照组采用常规护理方法,干预组在对照组基础上采用集束化护理干预,比较两组患者POD发生率、睡眠指数及疼痛、平均住院日。结果干预组患者POD发生率为3.12%,对照组为22.58%,两组比较差异有统计学意义(P0.05),干预组平均住院日、睡眠指数及疼痛评分分别为(16.82±2.82)d、(9.23±2.15)分和(3.87±1.87)分,对照组分别为(18.61±3.72)d、(11.24±4.31)分和(5.32±1.51)分,两组比较差异均有统计学意义(P0.05)。结论老年髋部骨折患者围手术期实行集束化护理管理,可有效降低患者POD发生率、减轻疼痛、改善睡眠质量,缩短了平均住院日,显著提高患者术后生活质量。
[Abstract]:Objective to investigate the effect of cluster nursing strategy on preventing delirium (POD) after hip fracture in elderly patients. Methods from June 2014 to June 2016, 63 elderly hip fracture patients who underwent surgical treatment in the Fourth Affiliated Hospital of Medical University Of Anhui were randomly divided into 31 cases in the control group and 32 cases in the intervention group. The control group received routine nursing, while the intervention group received cluster nursing intervention on the basis of the control group. The incidence of POD, sleep index, pain and average length of stay were compared between the two groups. Results the patients in the intervention group the incidence of POD was 3.12%, 22.58% in the control group, there was significant difference between two groups (P0.05), the intervention group the average hospitalization days, sleep index and pain scores were (16.82 + 2.82), D (9.23 + 2.15)% and (3.87 + 1.87) points, the control group respectively for (18.61 + 3.72), D (11.24 + 4.31)% and (5.32 + 1.51), with significant differences between the two groups (P0.05). Conclusion cluster nursing management in elderly patients with hip fracture during perioperative period can effectively reduce the incidence of POD, relieve pain, improve sleep quality, shorten the average length of stay, and significantly improve the quality of life of patients.
【作者单位】：安徽医科大学第四附属医院骨科;
【分类号】：R473.6
【正文快照】： 术后谵妄(postoperative delirium,POD)是术后常见一种急性精神错乱状态,伴有注意力、感受、思维、记忆、精神运动和睡眠周期障碍短暂性器质性脑综合征,是老年患者术后常见并发症之一[1]。据文献[2-3]报道,年龄65岁及以上患者POD发生率为5%~50%,POD的发生会增加患者坠积性肺炎

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