高龄患者腹部手术后认知功能障碍的临床护理回顾性分析

Retrospective analysis of clinical nursing skills in elderly patients with postoperative cognitive dysfunction after abdominal surgery

目的:探讨高龄患者腹部手术后认知功能障碍的临床护理技术。方法:对我院腹部手术后38例发生术后认知功能障碍患者的临床护理资料进行分类整理,分析护理干预与认知功能障碍患者康复时间之间的关系。结果:本组38例认知功能障碍患者中1,5例术前考虑到存在认知功能障碍的高危因素,已经对患者及家属进行了针对性的心理疏导,术后48 h恢复正常者占73%(11/15),术后72 h恢复正常者占27%(4/15)。38例POCD患者中23例术前未进行心理疏导,术后48 h恢复正常者只占9%(2/23),术后72 h恢复正常者占61%(14/23),术后96 h恢复正常者占30%(7/23)。结论:术前对存在认知功能障碍高危因素的患者及家属进行针对性的心理疏导能明显缩短认知功能障碍患者康复的时间。

Objective：To investigate clinical nursing skills in elderly patients with postoperative cognitive dysfunction after abdominal surgery.Methods：Clinical care data of 38 cases with postoperative cognitive dysfunction（POCD） after abdominal surgery were studied retrospectively for obtaining the correlation between the nursing intervention and the rehabilitation time.Results：Among the patients who acquired specific psychological comfort and support,73%（11/15）of them were recovered from POCD 48 hours after the surgery and 27%（4/15）of them were recovered 72 hours after the surgery.Among the patients who lacked specific psychological comfort and support,only 9%（2/23）of them were recovered from POCD 48 hours after the surgery,61%（14/23）of them were recovered 72 hours after the surgery and 30%（7/23）of them were recovered 96 hours after the surgery.Conclusion：Specific psychological comfort and support to the patients who have risk factors for POCD can obviously shorten the rehabilitation time.