摘要
目的:探讨对接受主动脉瓣膜置换术后的老年患者进行综合护理对预防其发生谵妄的临床效果。方法:选取2019年1月至5月期间在南京医科大学附属南京医院进行主动脉瓣膜置换术的136例老年患者作为研究对象。采用随机数字表法将这些患者分为观察组(n=68)与对照组(n=68)。术后,对两组患者均进行常规护理,在此基础上对观察组患者进行综合护理,然后比较两组患者的DRS评分、谵妄的发生率、谵妄累计的时间、接受机械通气的时间及其在ICU停留的时间。结果:接受护理后,观察组患者的DRS评分和术后谵妄的发生率均低于对照组患者,其谵妄累计的时间、接受机械通气的时间和在ICU停留的时间均短于对照组患者,差异有统计学意义,P<0.05。结论:对接受主动脉瓣膜置换术后的老年患者进行综合护理可显著降低其谵妄的发生率,缩短其接受机械通气的时间和在ICU停留的时间。
objective:to investigate the clinical effect of comprehensive nursing care on prevention of delirium in elderly patients after aortic valve replacement.Methods:136 elderly patients underwent aortic valve replacement in nanjing hospital of nanjing medical university from January to May 2019 were selected as subjects.These patients were divided into the observation group(n=68)and the control group(n=68)by the random number table method.After the operation,both groups received routine care,and on this basis,the observation group received comprehensive care.Then,DRS score,incidence of delirium,duration of delirium accumulation,duration of mechanical ventilation and duration of ICU stay were compared between the two groups.Results:after receiving nursing care,the DRS score and the incidence of postoperative delirium in the observation group were lower than those in the control group,and the cumulative delirium time,mechanical ventilation time and ICU stay time in the observation group were shorter than those in the control group,with statistically significant differences(P<0.05).Conclusion:comprehensive nursing care for elderly patients after aortic valve replacement can significantly reduce the incidence of delirium,shorten the duration of me chanical ventilation and stay in the ICU.
作者
刘丹丹
李纯
Liu dandan;li chun(department of critical care,nanjing first hospital,nanjing medical uni versity,nanjing Jiangsu 210006)
关键词
主动脉瓣膜置换术
老年患者
综合护理
谵妄
aortic valve replacement
Elderly patients
Comprehensive care
delirium
