全髋关节置换术老年患者术后谵妄的原因和护理

英文篇名：Causes and nursing of postoperative delirium in elderly patients undergoing total hip arthroplasty
作者：樊书美 ; 刘玉琴
英文作者：FAN Shumei;LIU Yuqin;Department of Orthopaedics,Taixing People's Hospital in Jiangsu Province;
关键词：全髋关节置换术 ; 老年患者 ; 谵妄 ; 护理
英文关键词：total hip arthroplasty;;elderly patients;;delirium;;nursing
中文刊名：XYZL
英文刊名：Journal of Clinical Medicine in Practice
机构：江苏省泰兴市人民医院骨科;
出版日期：2019-02-23
出版单位：实用临床医药杂志
年：2019
期：v.23
语种：中文;
页：XYZL201904034
页数：4
CN：04
ISSN：32-1697/R
分类号：116-118+125

摘要

目的分析全髋关节置换术老年患者术后谵妄原因并予以针对性的护理。方法回顾性分析60例全髋关节置换术术后的老年患者术后出现谵妄的临床资料。结果 60例患者均恢复术前状态并康复出院。结论老年患者术后谵妄的原因与术后活动受限、心理因素、手术、睡眠、低氧血症等因素有关,提供个性化的护理,可促使骨折术后老年谵妄患者恢复术前状态。
Objective To analyze causes of postoperative delirium in elderly patients undergoing total hip arthroplasty and its targeted nursing. Methods The clinical data of 60 elderly deliriun patients with total hip replacement was analyzed. Results A total of 60 patients had good recovery and discharged successfully. Conclusion The reasons of delirium are correlated with postoperative limitation,psychological factor,surgery,sleep,and hypoxemia. Individual nursing service can promote the recovery for patients with fracture.

引文

[1]王艳艳,岳冀蓉,胡秀英.国内外老年患者围手术期谵妄的研究进展[J].中国实用护理杂志,2015,31(27):2097-2099.
    [2]李晓梅,李晓晶.老年患者术后谵妄的相关因素及护理[J].临床与护理,2014,16(4):2254-2254.
    [3]胥婷婷.ICU患者谵妄的护理体会[J].健康护理,2017,11(22):243-243.
    [4]李源.老年患者股骨骨折术后发生谵妄的护理干预[J].临床护理,2015,5(21):262-263.
    [5]熊瑞.骨科老年患者术后谵妄的相关因素及护理[J].实用临床护理学杂志,2018,3(3):89-89.
    [6]何燕.老年患者术后谵妄的护理措施分析[J].特别健康,2018,10(14):195-196.
    [7]钱越,羊云萍.老年患者术后谵妄的危险因素及护理对策研究[J].当代护士,2018,25(2):86-88.
    [8]刘泉利,张蕾.老年患者发生术后ICU谵妄的原因分析及护理体会[J].中国老年保健医学,2018,16(1):117-118.
    [9]王妮.骨科老年患者术后谵妄的相关因素及护理[J].医药前沿,2017,7(30):312-313.
    [10]唐晓兰.骨科老年患者术后谵妄的原因分析及护理[J].特别健康,2017,9(22):112-113.
    [11]孙元元.ICU老年患者术后谵妄的临床因素及护理对策研究[J].当代护士,2017,21(12):125-127.
    [12]耿玲.护理干预在骨科老年患者全麻术后谵妄中的应用[J].养生保健指南,2017,15(52):52-52.