护理干预对老年髋部骨折患者术后谵妄的效果观察  

Effect of Nursing Intervention on Postoperative Delirium in Elderly Patients with Hip Fracture

作　　者：潘洁[1] PAN Jie(Department of Joint Surgery,The First Affiliated Hospital of Dalian Medical University,Dalian 116011,China)

机构地区：[1]大连医科大学附属第一医院关节外科,辽宁大连116011

出　　处：《中国医药指南》2020年第21期276-277,共2页Guide of China Medicine

摘　　要：目的观察护理干预对老年髋部骨折患者术后谵妄的效果。方法我院2018年12月至2019年12月收治的72例老年髋部骨折患者为本次研究对象,按照护理干预模式不同将患者分为对照组(36例:常规护理)与实验组(36例:快速康复护理),比较两组患者术后护理干预效果。结果实验组患者手术当天、术后1 d、术后2 d、术后3 d谵妄筛查量表(Nu-DESC)低于对照组,数据差异明显(P<0.05)。实验组患者手术当天、术后1 d、术后2 d、术后3 d数字疼痛NRS量表得分均低于对照组,数据差异明显(P<0.05)。实验组患者术后首次下床活动时间、术后首次排气时间以及平均住院时间均比对照组早,数据差异明显(P<0.05)。结论老年髋部骨折患者护理干预效果可直接影响患者预后,快速康复护理干预效果明显优于常规护理。Objective To observe the effect of nursing intervention on postoperative delirium of elderly patients with hip fracture. Methods 72 elderly patients with hip fracture who were admitted to our hospital from December 2018 to December 2019 were divided into control group(36 cases: routine nursing) and experimental group(36 cases: rapid rehabilitation) according to different nursing intervention modes. The effect of postoperative nursing intervention was compared between the two groups. Results The Nu-DESC of the experimental group was lower than that of the control group(P<0.05). The NRS scores of patients in the experimental group were lower than those in the control group(P<0.05). After operation, the first time to get out of bed, the first time to exhaust and the average hospital stay were earlier than those in the control group(P<0.05). Conclusion The effect of nursing intervention can directly affect the prognosis of the elderly patients with hip fracture, and the effect of comprehensive nursing intervention is better than that of routine nursing.

关 键 词：护理干预 老年髋部骨折 术后谵妄 干预效果 

分 类 号：R473.6[医药卫生—护理学]