ICU高龄患者髋部骨折术后谵妄的识别与护理  

Analysis on the identifying and nursing care of the ICU elderly hip fracture patients with postoperative delirium

作　　者：赵晓芳[1] 胡月正[2] 

机构地区：[1]杭州市中医院重症监护室,浙江杭州310006 [2]温州医学院附属第二医院,浙江温州325027

出　　处：《中国现代医生》2014年第36期73-75,78,共4页China Modern Doctor

基　　金：浙江省医药卫生一般研究计划B类(2011KYB052)

摘　　要：目的通过对高龄髋部骨折患者术后转入ICU治疗监护期间出现谵妄如何进行早期识别及护理的分析与总结,更好地认识此类并发症的临床特点,以便尽可能减少其发生。方法将2010年1月-2013年5月我院收治的25例高龄髋部骨折手术治疗后转入ICU监护治疗患者作为护理组进行临床护理干预,另选取同期的25例高龄髋部骨折患者作为对照组,采用常规护理模式,对两组患者进行观察和对比分析。结果护理组发生率为8.0%（2/25）,对照组发生率为20.0%（5/25）,两组发生率比较差异有统计学意义（P〈0.05）;护理组住院时间明显短于对照组,差异有统计学意义（P〈0.05）。结论为尽可能减少谵妄并发症的发生,ICU护士必须充分了解此类患者发生谵妄的临床特点,并进行早期识别与干预。Objective To study elderly patients with hip fracture during postoperative transferred to the ICU treatment monitoring in delirium how to carry on the analysis and summary of the early recognition and nursing, better under- stand the clinical characteristics of such complications, so as to minimize it. Methods From January 2010 to May 2013, a total of 25 patients with senile hip fracture surgery into ICU guardianship after treatment for clinical nursing intervention nursing group, selection of 25 cases of elderly patients with hip fracture as control group, the conventional nursing mode, observation and comparative analysis of two groups of patients. Results The incidence of nursing group was 8.0% 2/25）, the incidence of the control group was 20.0%（5/25）, two groups of significant differences statistically significant, length of hospital stay care significantly shorter than the control group （P〈0.05）, the difference was statistical- ly significant. Conclusion To minimize delirium complications, ICU nurses must fully understand the clinical charac- teristics of such cases of delirium, and early identification and intervention.

关 键 词：ICU 高龄 髋部骨折 手术 谵妄 识别 护理 

分 类 号：R473.6[医药卫生—护理学]