Implementation and evaluation of perioperative delirium prevention scheme for elderly patients with hip fracture
10.3761/j.issn.0254-1769.2017.09.011
- VernacularTitle:老年髋部骨折患者围手术期谵妄管理方案的实施及效果评价
- Author:
yun Qi ZHEN
1
;
Jun XIE
;
jian Jian PANG
;
Meng SHI
Author Information
1. 212002江苏省镇江市,镇江市第一人民医院骨科
- Keywords:
Hip Fractures;
Delirium;
Perioperative Nursing
- From:
Chinese Journal of Nursing
2017;52(9):1068-1072
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize common nursing problems of postoperative delirium in elderly patients with hip fracture,to formulate perioperative management scheme,and to implement proactive nursing intervention.Methods Multidisciplinary cooperative team was established,2014 clinical practice guidelines for preventing postoperative delirium in elderly patients from American Geriatrics Society was referenced.Through oxygen therapy and respiratory function training preoperatively,perfusion balance and temperature control and restricted blood transfusion intraoperatively,multimodal analgesia and comprehensive management of sleep postoperatively,professional,systematic perioperative delirium coping strategies were implemented to reduce the incidence of postoperative delirium in elderly patients with hip fracture.Results The incidence of postoperative delirium was 16.36％(9/55) and 30.91％ (17/55) for the experimental group and the control group,the duration of delirium was (3.37±1.21) d and (4.53± 1.87) d,the incidence of postoperative hypoxemia was 9.09％(5/55) and 14.55％(8/55),and the daily total sleep time was(5.18±0.53)h and(3.56±0.69)h.Conclusion Perioperative delirium management scheme involved various nursing coping strategies and quality continuous improvement projects,shortened the first time of ambulation and average days of hospitalization,and reduced the incidence of postoperative delirium.
