摘要
目的:观察责任制护理在预防老年髋关节置换患者术后谵妄中的应用效果。方法:选取2020年3月至2022年2月该院收治的300例髋关节置换术后患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各150例。对照组采用常规护理,观察组在对照组基础上采用责任制护理。比较两组住院时间、谵妄持续时间及谵妄发生率,护理前后谵妄程度[意识模糊评估法(CAM)、谵妄观察筛查量表(DOS)]评分、认知功能[蒙特利尔认知评估量表(MoCA)]评分、术后恢复质量[术后恢复质量评分量表(QoR-40)]评分、疼痛程度[数字评分法(NRS)]评分和护理满意度。结果:观察组住院时间、谵妄持续时间均短于对照组,差异有统计学意义(P<0.05);观察组谵妄发生率为12.67%,低于对照组的34.00%,差异有统计学意义(P<0.05);护理后,两组CAM、DOS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组MoCA、QoR-40评分均高于护理前,且观察组高于对照组,两组NRS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为90.67%,高于对照组的82.00%,差异有统计学意义(P<0.05)。结论:责任制护理应用于老年髋关节置换患者,可缩短谵妄持续时间和住院时间,减轻谵妄程度,降低谵妄发生率,改善认知功能,加快术后恢复,进而提高护理满意度,效果优于单纯常规护理。
Objective:To observe application effects of primary nursing in prevention of postoperative delirium in elderly patients with hip replacement.Methods:A prospective study was conducted on 300 patients after hip replacement admitted to this hospital from March 2020 to February 2022.They were divided into control group and observation group according to the random number table method,150 cases in each.The control group was given routine nursing,while the observation group was given the primary nursing mode on the basis of that of the control group.The hospitalization time,the duration of delirium and the incidence of delirium,the degree of delirium scores before and after the nursing[confusion assessment method(CAM),delirium observation screening scale(DOS)],the cognitive function[Montreal cognitive assessment(MoCA)]score,the postoperative recovery quality[40-tiem postoperative quality of recovery(QoR-40)]score,the pain degree[numerical rating scale(NRS)]score,and the nursing satisfaction were compared between the two groups.Results:The hospitalization time and the duration of delirium in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of delirium in the observation group was 12.67%,which was lower than 34.00%in the control group,and the difference was statistically significant(P<0.05).After the nursing,the CAM and DOS scores of the two groups were lower than those before the nursing,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The MoCA and the QoR-40 scores of the two groups were higher than those before the nursing,and those of the observation group were higher than those of the control group;the NRS scores of the two groups were lower than those before the nursing,and that of the observation group was lower than that of the control group;and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the obse
作者
马其霞
MA Qixia(Department of Joint of Nanyang Orthopaedics Hospital,Nanyang 473000 Henan,China)
出处
《中国民康医学》
2023年第22期168-171,共4页
Medical Journal of Chinese People’s Health
关键词
责任制护理
老年
髋关节置换
谵妄
认知能力
疼痛
护理满意度
Primary nursing
Elderly
Hip replacement
Delirium
Cognitive ability
Pain
Nursing satisfaction
