摘要
目的探讨精神科联络会诊对老年髋部骨折术后谵妄的影响方法研究组(89例)在研究开始前由精神科医师对骨科医护人员进行精神卫生知识和谵妄评估量表的培训,并为研究组患者提供术前和术后心理咨询,研究人员每天采用精神错乱鉴定方法(CAM)对研究对象进行评估,评估为谵妄则联络精神科医师协助诊疗。对照组(81例)接受骨科常规诊疗,出现精神症状后联络精神科医师会诊。结果研究组和对照组联络会诊率分别为37.07%与17.28%,两组比较差异有统计学意义(P<0.05);研究组谵妄识别率为29.21%,高于对照组的11.11%(P<0.05);研究组平均住院时间少于对照组(P<0.01)。结论精神科联络会诊可提高老年髋部骨折术后谵妄的识别率,缩短住院时间。
Objective To investigate the effect of psychiatric consultation liaison on postoperative delirium in elderly patients with hip fracture. Method 89 elderly patients with hip fracture were recruited as study group and 81 cases as control group. In study group, doctors and nurses in orthopedics department accepted mental health education and training about delirium scale. Patients were provided with preoperative and postoperative psychological counseling, and were assess with Confusion Assessment Method （CAM） everyday. Psychiatrist would provide assistance in case that the patient was diagnosed with delirium. Patients in control group was treated with routine orthopedics department treatment. Psychiatric consultation was performed if patients showed psychiatric symptoms. Results There was significant difference in rate of psychiatric consultation liaison between study group and control group （37.07% vs. 17.28%, P 〈0.05）. The recognition rate of delirium in study group was significantly higher than that in control group （29.21% vs. 11.11%, P 〈 0.05 ）. The average stay in study group was significantly lower than that in control group （ P 〈 0.01 ）. Conclusion Consultation liaison psychiatry can improve the recognition rate of postoperative delirium and shorten the hospitalization time in elderly patients with hip fracture.
出处
《精神医学杂志》
2014年第3期206-208,共3页
Journal of Psychiatry
关键词
精神科联络会诊
老年
髋部骨折
术后谵妄
Consultation liaison psychiatry
Elderly
Hip fracture
Postoperative delirium
