Risk factors analysis for postoperative cognitive dysfunction and nursing intervention in patients undergoing laparoscopic radical hysterectomy
10.3760/cma.j.issn.1672-7088.2017.08.008
- VernacularTitle:腹腔镜广泛性子宫切除术患者术后认知功能障碍的危险因素与护理对策
- Author:
Pei YANG
;
Liren LU
;
Xiaoyan LIN
;
Lizhen ZHAO
;
Zhimin WU
- Keywords:
Nursing care;
Cognition disorders;
Postoperative complications;
Hysterectomy;
Laparoscopes;
Risk factors
- From:
Chinese Journal of Practical Nursing
2017;33(8):590-593
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors for postoperative cognitive dysfunction (POCD) and nursing intervention in patients undergoing laparoscopic radical hysterectomy. Methods One hundred patients undergoing laparoscopic radical hysterectomy were included, surgical history, general anesthetics way, education, family factors(alone), body mass index, age, duration of anesthesia, dose of sufentanyl, hematocrit, the time for regaining orientation, dysphoria, postoperative pain degree were recorded. The occurrence of POCD was observed at 7 days (early period) and 3 months (later period) after surgery. Logistic regression analysis was used to examine the risk factors for POCD at early period and later period. Results The incidence of POCD at early period was 29.0%(29/100). Logistic regression analysis of surgical history, general anesthetics way, body mass index, age, hematocrit, the time for regaining orientation, postoperative pain degree in patients, general anesthetics way (OR=2.821, 95%CI 1.099-7.240) and postoperative pain degree(OR=2.292, 95%CI 1.129-4.654) were the significant risk factors for POCD at early period. The incidence of POCD at later period was 7.0%(7/100). Logistic regression analysis of education and family factors(alone) in patients, family factors(alone) was the significant risk factor for POCD at later period (OR=5.517, 95%CI 1.010-30.126). Conclusions General anesthetics way and postoperative pain degree are the significant predictors for POCD in patients undergoing laparoscopic radical hysterectomy during hospitalization, and family factors(alone) is the risk factor for POCD at 3 months after surgery, and active nursing intervention could reduce the occurrence of POCD.
