摘要
目的探讨老年髋关节置换术后谵妄发生的危险因素以及提出有针对性的护理对策。方法选择莆田市秀屿区医院2015-2018年收治的接受髋关节置换的患者97例,对两组患者的一般情况、生活史、生活质量等资料进行对比分析。结果两组患者年龄、伴发疾病、术后疼痛、睡眠情况等差异有统计学意义(P<0.05);而性别、体重、饮酒史等差异无统计学意义(P >0.05)。结论年龄越大、伴发老年慢性病、血氧水平偏低、术后疼痛和睡眠不足等均容易导致髋关节置换术后谵妄的发生。护理人员应该针对能够干预的危险因素进行有针对性的护理措施。
Objective To explore the risk factors of delirium after hip arthroplasty in elderly patients and put forward corresponding nursing countermeasures.Methods A total of 97 patients with hip arthroplasty admitted to our hospital from 2015 to 2018 were selected.The general condition,life history and quality of life between two groups were compared and analyzed.Results There were significant differences in age,concomitant diseases, postoperative pain,sleep status between the two groups(P<0.05),but no significant differences in gender,weight, drinking history(P >0.05).Conclusion The older patients,concomitant senile chronic diseases,low blood oxygen levels,postoperative pain and lack of sleep are easy to get delirium after hip replacement.Nursing staff should take targeted nursing measures according to the literature factors that can be intervened.
作者
曾赛琼
ZENG Saiqiong(Orthopedics Department,Xiuyu District Hospital,Putian 351146,Fujian Province,China)
出处
《中国实用乡村医生杂志》
2018年第12期51-53,56,共4页
Chinese Practical Journal of Rural Doctor
