集束化谵妄管理在髋部骨折患者中的应用  

Application of Cluster Delirium Management in Patients With Hip Fracture

作　　者：冀敏[1] JI Min(First Department of Orthopedics,Laiwu Iron and Steel Group Co.,Ltd.Hospital,Laiwu Shandong 271126,China)

机构地区：[1]莱芜钢铁集团有限公司医院骨一科,山东莱芜271126

出　　处：《中国卫生标准管理》2018年第15期186-188,共3页China Health Standard Management

摘　　要：目的探讨集束化谵妄管理方案在老年髋部骨折患者围手术期中的应用。方法 2016年1月—2017年12月选取本院收治的116例老年髋部骨折患者,根据随机数字表将患者分为观察组(n=58)及对照组(n=58),对照组围手术期实施常规性护理干预,观察组术后采用谵妄集束化管理方案进行干预,术后每天应用谵妄评估量表(CAM)评定两组患者谵妄发生情况及持续时间,并比较两组患者护患纠纷发生率及治疗满意率。结果观察组患者谵妄发生率及护患纠纷发生率低于对照组(P<0.05),而治疗满意率高于对照组(P<0.05)。观察组谵妄持续时间、平均住院时间均短于对照组(P<0.05),而CAM评分低于对照组(P<0.05)。结论集束化谵妄管理方案能有效降低老年髋部骨折患者围手术期谵妄发生率及持续时间,可促进患者预后,提高患者治疗满意率。Objective To investigate the application of the management of cluster delirium in the perioperative period of elderly patients with hip fracture.Methods 116 cases of elderly patients with hip fracture admitted to our hospital were divided into observation group(n=58)and control group(n=58)according to random number table from January 2016 to December 2017.The control group was applicated with perioperative routine nursing intervention and observation group was applicated with cluster management of delirium.The incidence and duration delirium of two groups were assess with delirium grading scale(CAM)after postoperative daily and the rates of patient-nurse disputes and treatment satisfaction of two groups were compared.Results The incidence of delirium and the incidence of nurse-patient disputes of observation group were lower than control group(P<0.05),but the treatment satisfaction rate was higher than control group(P<0.05).The duration of delirium and the average length of hospital stay of observation group were shorter than control group(P<0.05),while the scores of CAM of observation group were lower than control group(P<0.05).Conclusion The management of cluster delirium can effectively reduce the incidence and duration of perioperative delirium in elderly patients with hip fracture,which can promote the prognosis of patients and improve the satisfaction rate of patients.

关 键 词：集束化谵妄 老年髋部骨折 围手术期 满意率 管理方案 临床观察 

分 类 号：R473[医药卫生—护理学]