Application of the best evidence for preventing perioperative delirium in elderly patients with hip fractures
10.3760/cma.j.cn115682-20220609-02762
- VernacularTitle:老年髋部骨折患者围手术期谵妄预防最佳证据的应用
- Author:
Baohua CHEN
1
;
Huihui WANG
;
Lingpeng KONG
;
Fengjuan LU
;
Wenjuan LIU
;
Hao ZHANG
Author Information
1. 山东第一医科大学附属省立医院创伤二科，济南 250000
- Keywords:
Delirium;
Aged;
Hip fracture;
Evidence-based nursing;
Application of evidence
- From:
Chinese Journal of Modern Nursing
2023;29(18):2440-2445
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application effect of the best evidence for prevention of perioperative delirium in elderly patients with hip fracture.Methods:Using the convenient sampling method, a total of 62 elderly patients with hip fractures admitted to the Trauma Department of Provincial Hospital Affiliated to Shandong First Medical University from January to August 2021 were selected as the control group, and 62 elderly patients with hip fractures admitted from September 2021 to April 2022 were selected as the observation group. At the same time, 17 nurses from the same department were selected as the research objects. According to the standard procedures and clinical conversion system application methods of the Evidence Based Clinical Evidence Practice System at the Joanna Briggs Institute in Australia, the best evidences were applied to the prevention of delirium in elderly hip fracture patients during the perioperative period. Before and after the application of evidence, the compliance rates of the review indicators, the scores of knowledge and attitude on prevention of delirium in elderly patients with hip fracture and the occurrence of delirium in patients were compared.Results:After the application of evidence, the compliance rates of review indicators were higher than those before the application, and the differences were statistically significant ( P < 0.05). The knowledge accuracy and attitude scores of delirium prevention in elderly nurses with hip fractures during perioperative period were higher than those before application, and the differences were statistically significant ( P<0.05). The number of delirium cases in the observation group was lower than that in the control group, and the duration of delirium was shorter than that in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The clinical application of the best evidence for perioperative delirium prevention in elderly hip fractures can improve nurses' awareness and attitude towards perioperative delirium prevention in elderly hip fractures, and reduce the occurrence of delirium in patients.
