护理干预对普外科老年患者术后谵妄的效果观察  

Effect of Nursing Intervention on Postoperative Delirium in Elderly Patients Undergoing General Surgery

作　　者：龚连红[1] 杨小英[1] 熊云飞[1] 谢辉莉[1] 

机构地区：[1]南昌大学第二附属医院麻醉苏醒室,南昌330006

出　　处：《南昌大学学报（医学版）》2012年第4期61-63,68,共4页Journal of Nanchang University：Medical Sciences

摘　　要：目的观察积极的护理干预措施对普外科老年患者术后谵妄的影响。方法选择160例普外科手术后老年患者并按随机数字表法分为2组。常规护理组80例,接受医院常规护理;护理干预组80例,在接受医院常规护理的基础上给予特殊护理干预措施如心理护理、护理教育、音乐护理等个体化护理。采用意识障碍评估法(CAM)评估2组患者术后24、48、72h及出院前有无谵妄发生并作比较,统计2组患者平均住院时间、手术并发症发生例数。结果护理干预组患者术后谵妄例数、平均住院时间、术后并发症发生率明显少于或低于常规护理组(均P<0.05)。结论护理干预能有效降低普外科老年患者术后谵妄发生率,减少了并发症的发生,缩短病程,减少住院时间,提高了康复程度。Objective To investigate the effect of active nursing intervention on postoperative delirium in elderly patients undergoing general surgery.Methods A total of 160 elderly patients who underwent general surgery were randomly assigned to receive routine nursing care（routine group,n=80）or in combination with nursing intervention such as psychological care,nursing education,music nursing（intervention group,n=80）.The incidence of delirium was measured by using confusion assessment method at 24,48 and 72 hours after operation and before discharge.Average length of hospital stay and incidence of surgical complications were determined in both groups.Results Compared with routine nursing care,the incidences of postoperative delirium and complications and average length of hospital stay were significantly decreased by nursing intervention（all P0.05）.Conclusion Nursing intervention can decrease the incidences of postoperative delirium and complications,shorten the course of treatment,reduce hospital stay and improve rehabilitation outcomes in elderly patients undergoing general surgery.

关 键 词：护理干预 普外科手术 术后谵妄 老年人 

分 类 号：R475.5[医药卫生—护理学]