老年患者术后谵妄的护理

Nursing of Postoperative Delirium in Elderly Patients

目的:探讨对老年患者术后谵妄的认识,预防和护理特点。方法:通过对35名术后发生谵妄的老年患者给予安定和异丙酚治疗。同时防止缺氧,及时纠正电解质紊乱,预防肺部感染和下肢静脉血栓。避免对患者的不良刺激,做好心理护理,密切观察病情变化。结果:34名患者经治疗好转出院,一名患者术后出现心律失常死亡。结论:高度重视,全面熟悉和观察病情,正确用药和采取有效的护理措施,是预防和护理老年患者术后谵妄的关键。

Objective： To discuss awareness, prevention and care characteristics of postoperative delirium in elderly patients.Methods： Midazolam and propofol treatment are given to 35 elderly patients with postoperauve delirium, At the same time, measurements are used to prevent hypoxia,correctelectrolyte imbalance in time.and prevent lung infections and deep vein thrombosis. To avoid the adverse incentives for patients, we do good psychological care, and closely observe the patient＇s condition. Results： 34 patients were treated and discharged, and one patient died from Arrhythmia. Conclusion： With great importance to fully learn and observe the condition,taking the correct medication and effective nursing interventions is the key to prevent and care for elderly patients with critical postoperative delirium.