基于危险因素的针对性护理对主动脉夹层术后谵妄的预防作用  

Preventive effect of targeted nursing based on risk factors on delirium after aortic dissection

作　　者：张菲菲[1] 洪敏[1] 郑利娜[1] 孙建丽[1] ZHANG Feifei;HONG Min;ZHENG Lina(Zhengzhou Seventh People's Hospital,Zhengzhou 450001,China)

机构地区：[1]郑州市第七人民医院,郑州450001

出　　处：《国际精神病学杂志》2020年第6期1272-1275,共4页Journal Of International Psychiatry

基　　金：河南省医学科技攻关项目(编号:2018020861)。

摘　　要：目的探讨基于危险因素的针对性护理对主动脉夹层术后谵妄的预防作用。方法选择我院2018年1月~2020年1月收治的108例主动脉夹层患者为主要研究对象。按随机数字表法分为观察组和对照组,每组各54例.对照组开展常规护理,观察组进行基于危险因素的针对性护理。比较术后3d、5d、7d的蒙特利尔认知评估量表(MoCA)、简易智力状态量表(MMSE)评分,比较住院期间患者术后谵妄发生率,并采用谵妄分级量表(DRS-R98)评估患者谵妄的严重程度。结果两组患者术后3d、5d、7d的MoCA评分和MMSE评分逐渐升高,且观察组术后3d、5d、7d的MoCA评分和MMSE评分均明显高于对照组(P<0.05);观察组患者术后谵妄发生率(9.26%)明显低于对照组(29.63%)(P<0.05)。结论基于危险因素进行个性化的针对性护理有助于提升主动脉夹层患者术后认知功能,降低谵妄发生率,值得临床推广应用。Objective To explore the preventive effect of targeted nursing based on risk factors on delirium after aortic dissection. Methods A total of 108 patients with aortic dissection from January 2018 to January 2020 in our hospital were collected and randomly divided into two groups :control group(54 cases)received routine nursing,and the observation group(54 cases)received targeted nursing based on risk factors. The Montreal cognitive assessment scale(MoCA)score and the mini-mental state scale(MMSE)score at 3 d,5 d,and 7 d after surgery were compared. and the incidence of postoperative delirium during hospitalization was compared. The delirium scale(DRS-R98)was used to evaluate the severity of delirium. Results Mo CA scores and MMSE scores in the two groups increased gradually at 3 d,5 d and 7 d after surgery,and MoCA scores and MMSE scores in the observation group were higher than those in the control group at 3 d,5 d and 7 d after surgery(P<0.05). The incidence of postoperative delirium in the observation group(9.26%)was lower than that in the control group(29.63%)(P<0.05). Conclusion Targeted nursing based on risk factors can improve postoperative cognitive function of patients with aortic dissection and reduce the incidence of delirium,which is worthy of clinical application.

关 键 词：主动脉夹层 谵妄 危险因素 针对性护理 预防 

分 类 号：R749[医药卫生—神经病学与精神病学]