摘要
目的探讨围术期精神状态评估在骨科老年患者术后精神障碍预防护理中的应用效果。方法按入院时间将骨科住院老年手术患者分为两组，2012年1月至2013年1月收治的老年手术患者110例为对照组，2013年2～12月收治的106例老年手术患者为观察组。对照组按围术期常规实施护理干预，观察组在常规护理基础上加强围术期精神状态评估并采用临床护理路径表实施护理干预。结果观察组术后精神障碍发生率及症状持续发作时间显著低于及短于对照组，患者满意度显著高于对照组，意外拔管发生率显著低于对照组（P〈0．05，P〈0．01）。结论对骨科老年手术患者加强围手术期精神状态评估及护理干预，可有效降低老年患者术后精神障碍发生率，并缩短症状持续发作时间，提高患者对护理工作的满意度。
Objective To investigate the effect of perioperative mental state evaluation in preventing mental disorders after orthopedics surgery in the elderly. Methods According to the admission time, 110 cases of elderly orthopedic patients admitted to hospital from January 2012 to January 2013 were chosen as the control group and another 106 cases from February 2013 to december 2013 as the observation group, with the former given routine perioperative nursing intervention and the latter additionally given the mental state assessment and nursing intervention according to the clinical nursing path. Results The occur- rence rate of mental disorders and duration of symptoms in the observation group were significantly lower than those of the control group, while the satisfaction of the former was significantly higher than the latter; the unplanned extubation rate of the former was significantly lower than the latter （P〈0. 05, nursing intervention can effectively reduce the incidence of toms and improve patients′ satisfaction with nursing care. P 〈0. 01 ）. Conclusion Perioperative mental state evaluation and postoperative mental disorders, and shorten the duration of symp-
关键词
老年人
骨科手术
精神状态评估
术后精神障碍
护理
the elderly
orthopedic operations mental state assessment postoperative mental disorders nursing care
