老年全髋关节置换术后患者谵妄的危险因素分析及护理

Analysis the risk factors of postoperative delirium in elderly patients with total hip arthroplasty and the nursing intervention

目的:探讨全髋关节置换术后患者谵妄的危险因素及相关护理干预的效果。方法:回顾性分析2010年5月～2011年5月全髋关节置换的老年患者184例,其中发生谵妄患者17例,分析患者的临床资料,实施有效的护理措施。结果:患者的年龄、合并症、低氧血症、术后疼痛、睡眠时间减少是谵妄发生的危险因素,17例患者经积极护理后均获痊愈。结论:加强预防护理过程中可能引起术后谵妄的危险因素及积极护理可以有效降低谵妄的发生。

Objective：To analyze the risk factors of postoperative delirium in elderly patients with total hip arthroplasty and the nursing intervention.Methods：From May.2010 to May.2011,there were ip patients with delirium in 184 old patients with total hip arthroplasty.Analyzed there clinical data and nursing measures.Result：All the 17 patients got rehabilitation after active nursing,and the risk factors included age,hypoxemia,postoperative pain,less sleep.Conclusion：Combined with careful nursing,postoperative delirium of Total hip arthroplasty can be significantly reduce the occur rate of delirium after operation.