老年脊柱疾病术后并发谵妄患者的安全护理  

Safety nursing for elderly spinal disease patients with postoperative delirium

作　　者：邹小丽[1] 孟春阳[1] 原佳铭[2] 陈晶[1] Zou Xiaoli;Meag Chunyang;Yuan flaming;Chen Jing(Department of Orthopedics,China-Japan Union Hospital of Jilin University,Changchun 130033,China;Medical Examination Center,China-Japan Union Hospital of Jilin University,Changchun 130033,China)

机构地区：[1]吉林大学中日联谊医院骨科,长春130033 [2]吉林大学中日联谊医院体检中心,长春130033

出　　处：《中华现代护理杂志》2018年第25期2986-2989,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨脊柱疾病手术后并发谵妄患者的护理体会。方法 选取2014年1月—2017 年 12 月入住吉林大学中日联谊医院骨科脊柱组老年术后并发谵妄患者116 例，随机分为对照组和观察组，每组58 例。对照组采用常规护理，观察组在此基础上，增加防旋转颈托及背部可加压腹带的专科护理，比较两组患者切口渗血、敷料完整性情况。结果 观察组患者切口渗血发生率13.8%，低于对照组的 44.8%；观察组患者敷料完整性为91.4%，优于对照组的75.9%，两组比较差异有统计学意义（χ2 值分别为13.481、5.098；P ＜ 0.05）。结论 对老年脊柱疾病手术术后并发谵妄的患者实施专科护理干预可以降低切口渗血发生率，提高敷料完整性。Objective To explore the nursing experience of spinal disease patients with postoperative delirium. Methods From January 2014 to December 2017, we selected 116 elderly spinal disease patients with postoperative delirium of Department of Orthopedics in China-Japan Union Hospital of Jilin University. All of the patients were randomly divided into control group and observation group, 58 cases in each group. Patients of control group received routine nursing. On this basis of nursing in control group, patients of observation group were treated with specific nursing on neck brace preventing rotation and pressed bellyband in back. We compared the status of oozing of blood around incision and integrity of dressing among patients in two groups. Results Among patients in observation group, the incidence of oozing of blood around incision was 13.8% lower than that （44.8%） in control group; the integrity of dressing was 91.4% better than that （75.9%） in control group all with significant differences （ ~ 2=13.481, 5.098; P 〈 0.05）. Conclusions Specific nursing intervention for elderly spinal disease patients with postoperative delirinm can reduce the incidence of oozing of blood around incision and improve the integrity of dressing.

关 键 词：老年人 脊柱疾病 术后谵妄 专科护理 

分 类 号：R473.6[医药卫生—护理学]